Mehta, Shane S
Mehta, Shane S is an individual health care provider with primary practice located at 4061 W 95Th St , Oak Lawn IL 60453-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mehta, Shane S can be contacted via phone (708) 229-0101.Contact Information
Primary practice address
4061 W 95Th St
Oak Lawn IL 60453-2611
Phone: (708) 229-0101
Fax: (708) 229-0090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-150253 | Illinois |
Profile Details
| NPI number | 1376997924 |
|---|---|
| LBN Legal business name | Mehta, Shane S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2016 |
| Last updated | Aug 16th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376997924 | NPPES |
| Illinois | MEDICAID | 036150253 |
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