Blackley, Shem Kearney
Blackley, Shem Kearney is an individual health care provider with primary practice located at 1001 N Washington St , Shelby NC 28150-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Blackley, Shem Kearney can be contacted via phone (704) 482-2011.Contact Information
Primary practice address
1001 N Washington St
Shelby NC 28150-1800
Phone: (704) 482-2011
Fax: (704) 484-0303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 32340 | North Carolina |
Profile Details
| NPI number | 1578576674 |
|---|---|
| LBN Legal business name | Blackley, Shem Kearney |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | May 26th, 2021 - about 3 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 | 1578576674 | NPPES |
| North Carolina | Other | 340013360 | RR MEDICARE |
| North Carolina | Other | 32340 | RR MEDICARE |
| North Carolina | Other | 230126 | RR MEDICARE |
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