Swink, Shane Michael
Swink, Shane Michael is an individual health care provider with primary practice located at 1259 S Cedar Crest Blvd Ste 100 , Allentown PA 18103-6373. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pediatric Dermatology is his primary health care specialty. Swink, Shane Michael can be contacted via phone (610) 437-4134.Contact Information
Primary practice address
1259 S Cedar Crest Blvd Ste 100
Allentown PA 18103-6373
Phone: (610) 437-4134
Fax: (610) 433-9690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS021872 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | OT018645 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OT018645 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | OS021872 | Pennsylvania |
Profile Details
| NPI number | 1528551181 |
|---|---|
| LBN Legal business name | Swink, Shane Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2018 |
| Last updated | Sep 18th, 2023 - about 2 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 | 1528551181 | NPPES |
| Pennsylvania | MEDICAID | 1035720120002 |
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