Hawthorne, Shane Michael

Hawthorne, Shane Michael is an individual health care provider with primary practice located at 155 W 400 N , Orem UT 84057-4658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hawthorne, Shane Michael can be contacted via phone (801) 224-1300.

Contact Information

Primary practice address
155 W 400 N Orem UT 84057-4658
Phone: (801) 224-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5450642-1205 Utah

Profile Details

NPI number 1629462189
LBN Legal business name Hawthorne, Shane Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2015
Last updated Aug 6th, 2019 - about 7 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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