Shah, Revans

Shah, Revans is an sole proprietor health care provider with primary practice located at 3749 Ranee St , Easton PA 18045-3038. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Shah, Revans can be contacted via phone (484) 844-4061.

Contact Information

Primary practice address
3749 Ranee St Easton PA 18045-3038
Phone: (484) 844-4061
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1922549575
LBN Legal business name Shah, Revans
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2017
Last updated Mar 24th, 2017 - about 8 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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