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Contact Information

SHANE CONAWAY, PA-C
620 STANTON CHRISTIANA RD STE 202
NEWARK, DE19713-2130
 Phone: 302-384-7439
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHANE CONAWAY · (Male)

NPI # 1447728217
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/09/2018
Last updated 01/04/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C5-0001270
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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