Udelhoven, Shane
Udelhoven, Shane is an individual health care provider with primary practice located at 35670 Kenai Spur Hwy Ste 103A , Soldotna AK 99669-7649. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Udelhoven, Shane can be contacted via phone (907) 260-1655.Contact Information
Primary practice address
35670 Kenai Spur Hwy Ste 103A
Soldotna AK 99669-7649
Phone: (907) 260-1655
Fax: (980) 495-8870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PADA893 | Alaska |
Profile Details
| NPI number | 1124355359 |
|---|---|
| LBN Legal business name | Udelhoven, Shane |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2009 |
| Last updated | Feb 18th, 2020 - about 6 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 | 1124355359 | NPPES |
| Alaska | MEDICAID | 1572984 |
Popular Providers
-
Pault, Stacey
230 E Marydale Ave , Soldotna AK 99669-7648 -
Moisii, Danna Mavis Constance
35670 Kenai Spur Hwy Ste 102 , Soldotna AK 99669-7649 -
Seeds, Angela Marie
710 Sunset Dr Ste F , La Grande OR 97850 -
Welch, Kathryn A
220 S Hillside St Ste A , Wichita KS 67211-2151 -
Kauppi, Jeffrey D
200 Creekside Dr , Dickson TN 37055-2176 -
Scott, Carol Marie
8415 Bellona Ln Suite 201, Baltimore MD 21204-2055 -
Zichella, Sarah L
2801 K St Suite 410, Sacramento CA 95816-5120 -
Nyitrai, Daniel D
35670 Kenai Spur Hwy Suite 103B, Soldotna AK 99669-7626