Kortan, Shane

Kortan, Shane is an sole proprietor health care provider with primary practice located at 1650 Mcculloch Blvd N , Lake Havasu City AZ 86403-0961. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kortan, Shane can be contacted via phone (928) 855-9200.

Contact Information

Primary practice address
1650 Mcculloch Blvd N Lake Havasu City AZ 86403-0961
Phone: (928) 855-9200
Fax: (928) 855-9664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X S012216 Arizona

Profile Details

NPI number 1609176551
LBN Legal business name Kortan, Shane
Credentials RPH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2010
Last updated Oct 26th, 2010 - about 16 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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