Holsonback, Shawn

Holsonback, Shawn is an individual health care provider with primary practice located at 1200 Memorial Dr , Dalton GA 30720-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Holsonback, Shawn can be contacted via phone (706) 272-6000.

Contact Information

Primary practice address
1200 Memorial Dr Dalton GA 30720-2529
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 045242 Georgia

Profile Details

NPI number 1396756680
LBN Legal business name Holsonback, Shawn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 14th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396756680 NPPES
Georgia Other P00255537 RAILROAD MEDICARE

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