person
Shane Newsom, 390200000X
Contractor in Albuquerque, New Mexico
NPI 1578184990

Shane Newsom is a Contractor based in Albuquerque, NM. Shane Newsom practices in Albuquerque, NM and has the professional credentials of 390200000X. The NPI Number for Shane Newsom is 1578184990 and holds a License No. (New Mexico).

The current practice location address for Shane Newsom is 12300 Modesto Ave Ne, Albuquerque, NM and can be reached out via phone at 505-553-4835. You can also correspond with Shane Newsom through the mailing address at 12300 MODESTO AVE NE, ALBUQUERQUE, NM - 87122-2232 (mailing address contact number: 505-553-4835).

Location: 12300 Modesto Ave Ne, Albuquerque, NM, 87122-2232
person
Provider Profile Details
NPI Number
1578184990
Provider Name
Shane Newsom
Credential
390200000X
Provider Entity Type
Individual
Gender
Male
Address
12300 Modesto Ave Ne, Albuquerque, NM, 87122-2232
Phone Number
505-553-4835
Fax Number
Provider Enumeration Date
04/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390200000X 01 STUDENT
institution
Provider Business Practice Location Address Details
Address
12300 Modesto Ave Ne
City
State
Zip
87122-2232
Phone Number
505-553-4835
Fax Number
person
Provider Business Mailing Address Details
Address
12300 Modesto Ave Ne
City
State
Zip
87122-2232
Phone Number
505-553-4835
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
()
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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