Wallin, Shane

Wallin, Shane is an sole proprietor health care provider with primary practice located at 1968 Garnet Ave , San Diego CA 92109-3555. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Art, Medical, which is considered as his primary health care specialty. Wallin, Shane can be contacted via phone (612) 214-1325.

Contact Information

Primary practice address
1968 Garnet Ave San Diego CA 92109-3555
Phone: (612) 214-1325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Art, Medical 246ZA2600X 310143 Minnesota

Profile Details

NPI number 1104282177
LBN Legal business name Wallin, Shane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2016
Last updated Aug 7th, 2019 - about 5 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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