Malone, Shane
Malone, Shane is an sole proprietor health care provider with primary practice located at 1356 Old Creek Dr , Tyler TX 75703-7642. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / EEG, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic is his primary health care specialty. Malone, Shane can be contacted via phone (903) 534-0809.Contact Information
Primary practice address
1356 Old Creek Dr
Tyler TX 75703-7642
Phone: (903) 534-0809
Fax: (903) 939-9149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / EEG | 246ZE0500X | ||
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | ||
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X | 2580 | Texas |
Profile Details
| NPI number | 1508421108 |
|---|---|
| LBN Legal business name | Malone, Shane |
| Credentials | REPT, CNIM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2019 |
| Last updated | May 8th, 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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