Adkison, Shane A
Adkison, Shane A is an individual health care provider with primary practice located at 1399 Country Club Rd , Gulf Breeze FL 32563-3451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Adkison, Shane A can be contacted via phone (850) 934-7258.Contact Information
Primary practice address
1399 Country Club Rd
Gulf Breeze FL 32563-3451
Phone: (850) 934-7258
Fax: (850) 934-7276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME64880 | Florida |
Profile Details
| NPI number | 1659319515 |
|---|---|
| LBN Legal business name | Adkison, Shane A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Dec 9th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659319515 | NPPES |
| Florida | MEDICAID | 377670100 |
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