Smith, Shane Mcbride

Smith, Shane Mcbride is an individual health care provider with primary practice located at 2200 E Show Low Lake Rd , Show Low AZ 85901-7831. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Smith, Shane Mcbride can be contacted via phone (928) 537-4375.

Contact Information

Primary practice address
2200 E Show Low Lake Rd Show Low AZ 85901-7831
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6819 Arizona

Profile Details

NPI number 1255859567
LBN Legal business name Smith, Shane Mcbride
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2017
Last updated Sep 7th, 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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