Shine, Roderick Darnell

Shine, Roderick Darnell is an individual health care provider with primary practice located at 2105 E South Blvd , Montgomery AL 36116-2409. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as his primary health care specialty. Shine, Roderick Darnell can be contacted via phone (334) 288-2100.

Contact Information

Primary practice address
2105 E South Blvd Montgomery AL 36116-2409
Phone: (334) 288-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 1-120663 Alabama

Profile Details

NPI number 1215459854
LBN Legal business name Shine, Roderick Darnell
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2017
Last updated Jul 15th, 2017 - about 7 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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