Shane C. Allman, LPN
Individual provider Active NPI Licensed Practical Nurse · Pataskala, OH
NPI 1306018486 · NPPES record last updated Mar 28, 2008
Key facts
- NPI
- 1306018486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN. 115801 IV (OH)
- Practice address
- 180 Shaleridge Dr
Pataskala, OH 43062-8171 - Phone
- (740) 964-9796
- NPI assigned
- Mar 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN. 115801 IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN. 115801 IV | OH | Yes |
Addresses
Primary practice location
180 Shaleridge Dr
Pataskala, OH 43062-8171
Mailing address
180 Shaleridge Dr.
Pataskala, OH 43062
Phone (740) 964-9796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2492306 | Medicaid | OH |
Other providers in Pataskala, OH
- Jonathan Agyei
- Mollie Sue Albaugh
- Zeinabu Mohamed Ali
- Timothy Allen
- Julia Ann Allerton
- Emily Grace Anderson
- Theresa Ankamah
- Lyndsey Sue Appleman
- Hanna Arnett
- Ast Health Care Services LLC
All providers in Pataskala, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.