Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE WILSON
Active Sole ProprietorMR. SHANE WILSON is a Bus healthcare provider located in LITTLE ROCK, Arkansas. NPI 1669952966 is currently active in the NPPES registry. Verify at CMS.
Bus · LITTLE ROCK, AR
Registration Details
- NPI Number
- 1669952966
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2018 (7.9830009045789 yrs)
- Last Updated
- Aug 16, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
1522 S TYLER STLITTLE ROCK, AR, 72204Browse AR providers · Browse ZIP 72204
- Phone
- 5015150828
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in LITTLE ROCK, AR
| Name | Credential | NPI |
|---|---|---|
| ALICE LEA | — | 1629424825 |
| MR. TIMOTHY AKINS | — | 1770939639 |
| MR. DOUG SIMMONS JR. | — | 1770097818 |
| CHRISTOPHER GREGORY | — | 1275184616 |
| KENDELL NELSON | — | 1497479224 |
| MS. DEDRIA S WILLIAMS | — | 1891486379 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.