Shane, Craig L

Shane, Craig L is an individual health care provider with primary practice located at 8Th Ave C St , Salt Lake City UT 84143-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Shane, Craig L can be contacted via phone (801) 269-2500.

Contact Information

Primary practice address
8Th Ave C St Salt Lake City UT 84143-0001
Phone: (801) 269-2500
Fax: (801) 269-2690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 322973-1205 Utah

Profile Details

NPI number 1144240623
LBN Legal business name Shane, Craig L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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