person
Shane Ethan Orr
Student in an Organized Health Care Education/Training Program in Atoka, Oklahoma
NPI 1134534696

Shane Ethan Orr is a Student in an Organized Health Care Education/Training Program based in Coalgate, OK. Shane Ethan Orr practices in Atoka, OK. The NPI Number for Shane Ethan Orr is 1134534696 and holds a License No. (Oklahoma).

The current practice location address for Shane Ethan Orr is 706 S Greathouse Dr, Atoka, OK and can be reached out via phone at 580-889-3553 and via fax at 580-889-4050.

Location: 706 S Greathouse Dr, Atoka, OK, 74538-1216
person
Provider Profile Details
NPI Number
1134534696
Provider Name
Shane Ethan Orr
Credential
Provider Entity Type
Individual
Gender
Male
Address
706 S Greathouse Dr, Atoka, OK, 74538-1216
Phone Number
580-889-3553
Fax Number
580-889-4050
Provider Enumeration Date
06/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100683770A 05 OK
institution
Provider Business Practice Location Address Details
Address
706 S Greathouse Dr
City
State
Zip
74525
Phone Number
580-889-3553
Fax Number
580-889-4050
person
Provider Business Mailing Address Details
Address
706 S Greathouse Dr
City
State
Zip
74525
Phone Number
580-889-3553
Fax Number
580-889-4050
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Oklahoma)
Definition
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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