Squires, Shayne R
Squires, Shayne R is an individual health care provider with primary practice located at 2151 W Spring St Ste B110 , Monroe GA 30655-3209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Squires, Shayne R can be contacted via phone (770) 267-1895.Contact Information
Primary practice address
2151 W Spring St Ste B110
Monroe GA 30655-3209
Phone: (770) 267-1895
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 62453 | Wisconsin |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 34402 | Iowa |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 223248 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 77557 | Georgia |
Profile Details
| NPI number | 1043257090 |
|---|---|
| LBN Legal business name | Squires, Shayne R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jan 13th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043257090 | NPPES |
| Iowa | MEDICAID | 1043257090 |
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