Day, Carolyn Shanley
Day, Carolyn Shanley is an individual health care provider with primary practice located at 2800 Blue Ridge Road Suite 300, Raleigh NC 27607-4988. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Day, Carolyn Shanley can be contacted via phone (919) 784-7874.Contact Information
Primary practice address
2800 Blue Ridge Road Suite 300
Raleigh NC 27607-4988
Phone: (919) 784-7874
Fax: (919) 784-2708
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 201301684 | North Carolina |
Other Service Providers / Specialist | 174400000X | 35799 | Kentucky |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01066148A | Indiana |
Profile Details
NPI number | 1902803109 |
---|---|
LBN Legal business name | Day, Carolyn Shanley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2005 |
Last updated | Nov 7th, 2023 - about 2 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 | 1902803109 | NPPES |
Indiana | MEDICAID | 200929560 | |
Indiana | Other | 0918302 | |
Indiana | MEDICAID | 64072952 | |
Indiana | Other | 000000330047 | |
Indiana | MEDICAID | 50004060 | |
Indiana | Other | P00136405 |
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