Wilson, Shane

Wilson, Shane is an sole proprietor health care provider with primary practice located at 1522 S Tyler St , Little Rock AR 72204. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Wilson, Shane can be contacted via phone (501) 515-0828.

Contact Information

Primary practice address
1522 S Tyler St Little Rock AR 72204
Phone: (501) 515-0828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1669952966
LBN Legal business name Wilson, Shane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2018
Last updated Aug 16th, 2018 - about 7 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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