Wisehart, Shane K
Wisehart, Shane K is an sole proprietor health care provider with primary practice located at 35 Bonnie View Dr Ste 3, Los Alamos NM 87547-3737. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wisehart, Shane K can be contacted via phone (505) 672-9774.Contact Information
Primary practice address
35 Bonnie View Dr Ste 3
Los Alamos NM 87547-3737
Phone: (505) 672-9774
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1186 | New Mexico |
| Chiropractic Providers / Chiropractor | 111N00000X | 5885 | Texas |
| Chiropractic Providers / Chiropractor | 111N00000X | 2943171202 | Utah |
Profile Details
| NPI number | 1649385980 |
|---|---|
| LBN Legal business name | Wisehart, Shane K |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Feb 8th, 2017 - 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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