Morong, Shane Michael

Morong, Shane Michael is an sole proprietor health care provider with primary practice located at 212 San Jose St Ste 301 , Salinas CA 93901-3928. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Morong, Shane Michael can be contacted via phone (831) 759-3289.

Contact Information

Primary practice address
212 San Jose St Ste 301 Salinas CA 93901-3928
Phone: (831) 759-3289
Fax: (831) 758-1565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1551 Maine
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0005588 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 57632 California

Profile Details

NPI number 1821492323
LBN Legal business name Morong, Shane Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2014
Last updated Jun 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821492323 NPPES
Maine MEDICAID 1821492323

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