Shine, Gary

Shine, Gary is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1971. He recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as his primary health care specialty. Shine, Gary can be contacted via phone (757) 668-7315.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1971
Phone: (757) 668-7315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 0001272766 Virginia

Profile Details

NPI number 1487392171
LBN Legal business name Shine, Gary
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2022
Last updated May 24th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487392171 NPPES
Virginia Other 0001272766 RN LICENSE

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