Starr, Shane Randall

Starr, Shane Randall is an individual health care provider with primary practice located at 9460 S Saginaw Rd Ste D , Grand Blanc MI 48439-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Starr, Shane Randall can be contacted via phone (810) 733-7741.

Contact Information

Primary practice address
9460 S Saginaw Rd Ste D Grand Blanc MI 48439-8207
Phone: (810) 733-7741
Fax: (810) 733-8898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2011-00006 North Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301106295 Michigan

Profile Details

NPI number 1730372913
LBN Legal business name Starr, Shane Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2007
Last updated Sep 19th, 2023 - about 2 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 1730372913 NPPES
North Carolina Other 16141 BCBSNC
North Carolina MEDICAID 1730372913 BCBSNC
North Carolina Other 238727 BCBSNC
North Carolina MEDICAID 5917026 BCBSNC

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