O'Brien, Shane S
O'Brien, Shane S is an sole proprietor health care provider with primary practice located at 842 Georgia St , Imperial Beach CA 91932-2343. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. O'Brien, Shane S can be contacted via phone (619) 869-1952.Contact Information
Primary practice address
842 Georgia St
Imperial Beach CA 91932-2343
Phone: (619) 869-1952
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
| NPI number | 1790248375 |
|---|---|
| LBN Legal business name | O'Brien, Shane S |
| Credentials | DEEP SEA DIVING IDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2019 |
| Last updated | Apr 10th, 2019 - about 6 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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