Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE THOMAS STOCKELMAN, ATC, LAT
Active Sole ProprietorMR. SHANE THOMAS STOCKELMAN, ATC, LAT is a Sleep Medicine healthcare provider located in TALLAHASSEE, Florida. NPI 1932731684 is currently active in the NPPES registry. Verify at CMS.
Sleep Medicine · TALLAHASSEE, FL
Registration Details
- NPI Number
- 1932731684
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2020 (6.5230620149761 yrs)
- Last Updated
- Feb 11, 2020
- License
-
5752 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3334 CAPITAL MEDICAL BLVDTALLAHASSEE, FL, 323088405Browse FL providers · Browse ZIP 32308
- Phone
- 8508778174
- Primary Specialty
-
Sleep Medicine
207RS0010X
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.