Lietch, Shane

Lietch, Shane is an sole proprietor health care provider with primary practice located at 609 Rolling Hills Ter , Edmond OK 73012-6611. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Lietch, Shane can be contacted via phone (405) 588-2356.

Contact Information

Primary practice address
609 Rolling Hills Ter Edmond OK 73012-6611
Phone: (405) 588-2356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1295276731
LBN Legal business name Lietch, Shane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2017
Last updated Apr 18th, 2022 - about 4 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.

Request for update

Popular Providers