King, Shawn M
King, Shawn M is an individual health care provider with primary practice located at 490 Dunlop Ln , Clarksville TN 37040-5007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. King, Shawn M can be contacted via phone (931) 245-8600.Contact Information
Primary practice address
490 Dunlop Ln
Clarksville TN 37040-5007
Phone: (931) 245-8600
Fax: (931) 245-8660
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34908 | Tennessee |
Profile Details
NPI number | 1538150255 |
---|---|
LBN Legal business name | King, Shawn M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2005 |
Last updated | Jan 18th, 2016 - about 9 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 | 1538150255 | NPPES |
Tennessee | MEDICAID | 3861404 |
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