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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902157779 NPPES
Georgia Other 89436 GCMB - GEORGIA COMPOSITE MEDICAL BOARD

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