Wible, Shane Martin

Wible, Shane Martin is an individual health care provider with primary practice located at 60 Merritt Blvd Suite 106, Fishkill NY 12524-2990. 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. Wible, Shane Martin can be contacted via phone (845) 905-5090.

Contact Information

Primary practice address
60 Merritt Blvd Suite 106 Fishkill NY 12524-2990
Phone: (845) 905-5090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6792106-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2013-0029 New Mexico

Profile Details

NPI number 1013199330
LBN Legal business name Wible, Shane Martin
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Jul 24th, 2013 - about 11 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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