Walker, Shane D.

Walker, Shane D. is an individual health care provider with primary practice located at 55 Maui Lani Pkwy , Wailuku HI 96793-2416. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Walker, Shane D. can be contacted via phone (808) 243-6050.

Contact Information

Primary practice address
55 Maui Lani Pkwy Wailuku HI 96793-2416
Phone: (808) 243-6050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10005374 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AMD-913 Hawaii

Profile Details

NPI number 1649448572
LBN Legal business name Walker, Shane D.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2008
Last updated May 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649448572 NPPES
Washington MEDICAID 8505448
Washington Other 231200
Washington Other PA10005374

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