Troumbley, Shenandoah Layne

Troumbley, Shenandoah Layne is an individual health care provider with primary practice located at 43 S 300 E , Preston ID 83263-1318. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic is his primary health care specialty. Troumbley, Shenandoah Layne can be contacted via phone (734) 545-3896.

Contact Information

Primary practice address
43 S 300 E Preston ID 83263-1318
Phone: (734) 545-3896
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1091 Idaho
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1619037033
LBN Legal business name Troumbley, Shenandoah Layne
Credentials D.C. C.N.I.M.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jan 22nd, 2016 - about 9 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 1619037033 NPPES
Idaho MEDICAID 806965100
Idaho Other 000010148066
Idaho Other C4785

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