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MR. SHANE HARBAUGH
>> Driver >> Other Service ProvidersRegistrant NPI Number: 1801212154
Individual Registrant:MR. SHANE HARBAUGH
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
104 E 8TH ST CLAY CITY, IN 47841-1302 US
Tel: 812-939-2900 Fax: --
Tel: 812-939-2900 Fax: --
Contact information for business:
104 E 8TH ST CLAY CITY, IN 47841-1302 US
Tel: 812-939-2900 Fax: --
Tel: 812-939-2900 Fax: --
Registration Information:
NPI: 1801212154
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 172A00000X | Other Service Providers Driver | IN | 8906379165 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
