Emmons, Shawn Patrick
Emmons, Shawn Patrick is an individual health care provider with primary practice located at 2131 S 17Th St , Wilmington NC 28401-7407. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Emmons, Shawn Patrick can be contacted via phone (910) 667-2606.Contact Information
Primary practice address
2131 S 17Th St
Wilmington NC 28401-7407
Phone: (910) 667-2606
Fax: (910) 815-5698
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 250653 | New York |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 250653 | New York |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2022-00593 | North Carolina |
Profile Details
NPI number | 1609035351 |
---|---|
LBN Legal business name | Emmons, Shawn Patrick |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2008 |
Last updated | Aug 23rd, 2022 - 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 | 1609035351 | NPPES |
New York | MEDICAID | 03104941 |
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