Tierney, Michael Shane

Tierney, Michael Shane is an individual health care provider with primary practice located at 1633 Davidson Rd , Mc Lean VA 22101-4399. 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. Tierney, Michael Shane can be contacted via phone (703) 714-5771.

Contact Information

Primary practice address
1633 Davidson Rd Mc Lean VA 22101-4399
Phone: (703) 714-5771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0126001718 Virginia

Profile Details

NPI number 1073197679
LBN Legal business name Tierney, Michael Shane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2021
Last updated May 10th, 2021 - about 4 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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