Grange, Shaun Robert

Grange, Shaun Robert is an individual health care provider with primary practice located at 429 N Union Ave , Shawnee OK 74801-7019. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Grange, Shaun Robert can be contacted via phone (405) 275-1844.

Contact Information

Primary practice address
429 N Union Ave Shawnee OK 74801-7019
Phone: (405) 275-1844
Fax: (405) 275-1124
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1326677709
LBN Legal business name Grange, Shaun Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2020
Last updated Apr 7th, 2020 - about 6 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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