Organization
MR. SHANE'S. INC.
Active
Other names
Shane's foot comfort Center
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE G. HAYES CERTIFIED PEDORTHIST (PRESIDENT)
(206) 364-1322
Entity
Organization
Contact information
Practice address
17735 15TH AVE NE, SHORELINE, WA 98155-3803
(206) 364-1322
(206) 365-2074
Mailing address
17735 15TH AVE NE, SHORELINE, WA 98155-3803
(206) 364-1322
(206) 365-2074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600559120
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25337
LABOR & INDUSTRIES
WA
01
—
SH8065
REGENCE BLUE SHEILD
WA
Enumeration date
01/17/2007
Last updated
09/29/2008
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