Mills, Shane J
Mills, Shane J is an individual health care provider with primary practice located at 3355 Riverbend Dr Ste 500 , Springfield OR 97477-8800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Mills, Shane J can be contacted via phone (541) 868-9500.Contact Information
Primary practice address
3355 Riverbend Dr Ste 500
Springfield OR 97477-8800
Phone: (541) 868-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11916 | Hawaii |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 162048 | Oregon |
Profile Details
| NPI number | 1699747055 |
|---|---|
| LBN Legal business name | Mills, Shane J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Apr 28th, 2021 - about 4 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 | 1699747055 | NPPES |
| Oregon | MEDICAID | 500659341 |
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