Epps, Shane H
Epps, Shane H is an sole proprietor health care provider with primary practice located at 3601 Sw 160Th Ave , Miramar FL 33027-6308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Epps, Shane H can be contacted via phone (305) 866-7123.Contact Information
Primary practice address
3601 Sw 160Th Ave
Miramar FL 33027-6308
Phone: (305) 866-7123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS13617 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | OS13617 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 89436 | Georgia |
Profile Details
| NPI number | 1902157779 |
|---|---|
| LBN Legal business name | Epps, Shane H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2012 |
| Last updated | Jan 14th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902157779 | NPPES |
| Georgia | Other | 89436 | GCMB - GEORGIA COMPOSITE MEDICAL BOARD |
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