Archibald, Shane A
Archibald, Shane A is an sole proprietor health care provider with primary practice located at 185 S 400 E Ste 100 , Bountiful UT 84010-4862. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Archibald, Shane A can be contacted via phone (801) 397-6200.Contact Information
Primary practice address
185 S 400 E Ste 100
Bountiful UT 84010-4862
Phone: (801) 397-6200
Fax: (801) 397-6201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7672413-4405 | Utah |
Profile Details
| NPI number | 1861155228 |
|---|---|
| LBN Legal business name | Archibald, Shane A |
| Credentials | RN, DNP, APRN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2021 |
| Last updated | Nov 11th, 2022 - about 3 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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