Shockman, Lane Marty
Shockman, Lane Marty is an individual health care provider with primary practice located at 600 Nw 11Th St Suite E31, Hermiston OR 97838-8605. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Shockman, Lane Marty can be contacted via phone (541) 667-3657.Contact Information
Primary practice address
600 Nw 11Th St Suite E31
Hermiston OR 97838-8605
Phone: (541) 667-3657
Fax: (541) 667-3659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 09190 | Oregon |
Profile Details
| NPI number | 1487100376 |
|---|---|
| LBN Legal business name | Shockman, Lane Marty |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2016 |
| Last updated | Aug 30th, 2016 - about 9 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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