Stecyk, Shane Douglas

Stecyk, Shane Douglas is an sole proprietor health care provider with primary practice located at 18111 Nordhoff St Department Of Kinesiology, Northridge CA 91330-8287. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Stecyk, Shane Douglas can be contacted via phone (818) 677-4738.

Contact Information

Primary practice address
18111 Nordhoff St Department Of Kinesiology Northridge CA 91330-8287
Phone: (818) 677-4738
Fax: (818) 677-3207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1689718058
LBN Legal business name Stecyk, Shane Douglas
Credentials ATC, CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2007
Last updated Jul 8th, 2007 - about 17 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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