Wurdeman, Shane Richard
Wurdeman, Shane Richard is an individual health care provider with primary practice located at 11301 Wilshire Blvd Bldg 304, Los Angeles CA 90073-1003. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Wurdeman, Shane Richard can be contacted via phone (310) 478-3711.Contact Information
Primary practice address
11301 Wilshire Blvd Bldg 304
Los Angeles CA 90073-1003
Phone: (310) 478-3711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CP003610 | California |
Profile Details
| NPI number | 1497911572 |
|---|---|
| LBN Legal business name | Wurdeman, Shane Richard |
| Credentials | Certified Psychologist (CP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Jul 29th, 2008 - about 17 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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