Merrill, Shane B

Merrill, Shane B is an sole proprietor health care provider with primary practice located at 625 9Th Ave , Longview WA 98632-2464. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Merrill, Shane B can be contacted via phone (360) 442-7900.

Contact Information

Primary practice address
625 9Th Ave Longview WA 98632-2464
Phone: (360) 442-7900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X SRA100020 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP60510081 Washington

Profile Details

NPI number 1487959508
LBN Legal business name Merrill, Shane B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2011
Last updated Jun 25th, 2024 - about 5 months 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.

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