Short, Shane Michael

Short, Shane Michael is an sole proprietor health care provider with primary practice located at 4405 Central Ave Ste D , Hot Springs AR 71913-7467. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Short, Shane Michael can be contacted via phone (501) 781-2003.

Contact Information

Primary practice address
4405 Central Ave Ste D Hot Springs AR 71913-7467
Fax: (501) 781-2003
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 630 Arkansas

Profile Details

NPI number 1356808489
LBN Legal business name Short, Shane Michael
Credentials BC-HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2019
Last updated Sep 5th, 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 1356808489 NPPES
Arkansas Other AR-630 AUDIOMETRIC EVALUATIONS, ADJUSTMENTS, HEARING AID REPAIRS

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