Spears, Shane Foree

Spears, Shane Foree is an individual health care provider with primary practice located at 1000 S Beckham Ave , Tyler TX 75701-1908. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Spears, Shane Foree can be contacted via phone (903) 590-5611.

Contact Information

Primary practice address
1000 S Beckham Ave Tyler TX 75701-1908
Phone: (903) 590-5611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004751 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004751 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA15805 Texas

Profile Details

NPI number 1336119916
LBN Legal business name Spears, Shane Foree
Credentials PA-C, CCP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Mar 29th, 2023 - about last year

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 1336119916 NPPES
Washington MEDICAID 1060261
Washington Other 9468232
Washington Other 0225125
Washington Other 1425SP

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