Patterson, Shane Michael

Patterson, Shane Michael is an sole proprietor health care provider with primary practice located at 702 Mountain Ranch Rd , San Andreas CA 95249. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Patterson, Shane Michael can be contacted via phone (209) 754-0870.

Contact Information

Primary practice address
702 Mountain Ranch Rd San Andreas CA 95249
Phone: (209) 754-0870
Fax: (209) 754-0878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A101166 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X A101166 California

Profile Details

NPI number 1639367410
LBN Legal business name Patterson, Shane Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2007
Last updated Jan 18th, 2013 - about 11 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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