Thompson, Shane Eden

Thompson, Shane Eden is an individual health care provider with primary practice located at 490 S Main St , Fort Bragg CA 95437-4806. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Thompson, Shane Eden can be contacted via phone (707) 964-1214.

Contact Information

Primary practice address
490 S Main St Fort Bragg CA 95437-4806
Phone: (707) 964-1214
Fax: (707) 964-9513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 29158 California

Profile Details

NPI number 1841558111
LBN Legal business name Thompson, Shane Eden
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Apr 24th, 2012 - about 12 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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