Wilson, Shane David

Wilson, Shane David is an sole proprietor health care provider with primary practice located at 1249 15Th St Ste 4000 , Huntington WV 25701-3663. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Wilson, Shane David can be contacted via phone (304) 766-3600.

Contact Information

Primary practice address
1249 15Th St Ste 4000 Huntington WV 25701-3663
Phone: (304) 766-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 63040 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 63040 West Virginia

Profile Details

NPI number 1437624236
LBN Legal business name Wilson, Shane David
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2018
Last updated Oct 30th, 2020 - 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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