Individual provider · Type 1 NPI
Shane M. Hadley, AT
Specialist · Newport Beach, CA
NPI number
1326249772
Active
Practice location
1000 Bristol St N Ste 25
Newport Beach, CA 92660-8917
Fax (949) 250-1401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AT6305 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1326249772
Shane M. Hadley, AT's National Provider Identifier is 1326249772, issued on May 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 8, 2007.