Mr Shane C Allman, LPN | |
180 Shaleridge Dr, Pataskala, OH 43062-8171 | |
(740) 964-9796 | |
Not Available |
Full Name | Mr Shane C Allman |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 180 Shaleridge Dr, Pataskala, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306018486 | NPI | - | NPPES |
2492306 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | PN. 115801 IV (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Shane C Allman, LPN 180 Shaleridge Dr., Pataskala, OH 43062 Ph: (740) 964-9796 | Mr Shane C Allman, LPN 180 Shaleridge Dr, Pataskala, OH 43062-8171 Ph: (740) 964-9796 |
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