Kohl, Shane K.

Kohl, Shane K. is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Kohl, Shane K. can be contacted via phone (402) 354-4540.

Contact Information

Primary practice address
8303 Dodge St Omaha NE 68114-4108
Phone: (402) 354-4540
Fax: (402) 354-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00048195 Washington
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 24106 Nebraska

Profile Details

NPI number 1013105899
LBN Legal business name Kohl, Shane K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated Dec 17th, 2013 - about 13 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 1013105899 NPPES
Washington Other MD00048195 MEDICAL LICENSE
Washington MEDICAID 1013105899 MEDICAL LICENSE
Washington Other 24106 MEDICAL LICENSE
Washington MEDICAID 47037660422 MEDICAL LICENSE

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