Shane Newsom, 390200000X - Albuquerque, NM

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.

Location: 12300 Modesto Ave Ne, Albuquerque, NM, 87122-2232

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

Identifier	Type	State	Issuer
390200000X	01		STUDENT

Address

12300 Modesto Ave Ne

City

Albuquerque

State

New Mexico

Zip

87122-2232

Phone Number

505-553-4835

Fax Number

Address

12300 Modesto Ave Ne

City

Albuquerque

State

New Mexico

Zip

87122-2232

Phone Number

505-553-4835

Fax Number

Type

Other Service Providers

Classification

Contractor

Speciality

Taxonomy

171W00000X

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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