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
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619037033 | NPPES |
| Idaho | MEDICAID | 806965100 | |
| Idaho | Other | 000010148066 | |
| Idaho | Other | C4785 |
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