Individual provider · Type 1 NPI

Shane Ethan Orr

Student in an Organized Health Care Education/Training Program · Atoka, OK

NPI number 1134534696 Active

Practice location

706 S Greathouse Dr
Atoka, OK 74525

Call (580) 889-3553 Map

Fax (580) 889-4050

Mailing address

907 W Ohio Ave
Coalgate, OK 74538-1216

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134534696

Shane Ethan Orr's National Provider Identifier is 1134534696, issued on Jun 24, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atoka, OK. The record was last updated on Aug 10, 2015.