Provider Demographics
NPI:1104212489
Name:KARABIN, SHANE
Entity Type:Individual
Prefix:
First Name:SHANE
Middle Name:
Last Name:KARABIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5261 MOHICAN WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8544
Mailing Address - Country:US
Mailing Address - Phone:925-732-3217
Mailing Address - Fax:
Practice Address - Street 1:5261 MOHICAN WAY
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8544
Practice Address - Country:US
Practice Address - Phone:925-732-3217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider