Martensen, Shane Thomas

Martensen, Shane Thomas is an individual health care provider with primary practice located at 35 The Moor , East Islip NY 11730-2922. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martensen, Shane Thomas can be contacted via phone (631) 383-2476.

Contact Information

Primary practice address
35 The Moor East Islip NY 11730-2922
Phone: (631) 383-2476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1336738913
LBN Legal business name Martensen, Shane Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2021
Last updated Jan 18th, 2021 - about 5 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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