Stockwell, Shane Everett

Stockwell, Shane Everett is an individual health care provider with primary practice located at 3495 W Kamran Ridge Cv , South Jordan UT 84095-8499. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stockwell, Shane Everett can be contacted via phone (304) 982-9556.

Contact Information

Primary practice address
3495 W Kamran Ridge Cv South Jordan UT 84095-8499
Phone: (304) 982-9556
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 64006 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3086781-4406 Utah

Profile Details

NPI number 1346334018
LBN Legal business name Stockwell, Shane Everett
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Sep 10th, 2013 - about 13 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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