Shane, Carrie A
Shane, Carrie A is an individual health care provider with primary practice located at 220 Unity St , Bellingham WA 98225-4429. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Shane, Carrie A can be contacted via phone (360) 676-6177.Contact Information
Primary practice address
220 Unity St
Bellingham WA 98225-4429
Phone: (360) 676-6177
Fax: (360) 527-8778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DE00008040 | Washington |
Profile Details
| NPI number | 1851318687 |
|---|---|
| LBN Legal business name | Shane, Carrie A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Apr 24th, 2008 - about 16 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 | 1851318687 | NPPES |
| Washington | MEDICAID | 5028048 |
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