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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1538150255 NPPES
Tennessee MEDICAID 3861404

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