Shane B Carson is a Pediatrics in Liberty Lake, Washington. Shane B Carson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shane B Carson is 1710917299. The last update date is 2021-05-03.
Shane B Carson's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 5097473081. The mailing address for Shane B Carson is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane B Carson |
|---|---|
| Address | Po Box 421, Liberty Lake, Washington |
| Phone Number | 5097473081 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1710917299 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2021-05-03 |
Provider Mailing Address Detail
| Address | Po Box 421 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190421 |
| Phone Number | 5097473081 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | OP00002101 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8454654 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shane B Carson by the Centers for Medicare & Medicaid Services?
The Shane B Carson has been assigned the NPI (National Provider Identifier) 1710917299. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shane B Carson's facilities are geographically located?
The facilities of Shane B Carson are physically situated at the following location: Po Box 421, Liberty Lake, WA, 990190421.
What is the area of specialization for Shane B Carson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shane B Carson is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Shane B Carson receive its 1710917299 assignment from the Centers for Medicare & Medicaid Services?
The Shane B Carson was assigned its 1710917299 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date was the information pertaining to Shane B Carson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shane B Carson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-03.
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