Longshore, Shannon Wright
Longshore, Shannon Wright is an individual health care provider with primary practice located at 517 Moye Blvd , Greenville NC 27834-2849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as her primary health care specialty. Longshore, Shannon Wright can be contacted via phone (252) 744-2832.Contact Information
Primary practice address
517 Moye Blvd
Greenville NC 27834-2849
Phone: (252) 744-2832
Fax: (252) 744-3457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 2013-01284 | North Carolina |
Profile Details
| NPI number | 1043292386 |
|---|---|
| LBN Legal business name | Longshore, Shannon Wright |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Feb 20th, 2024 - about last year |
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 | 1043292386 | NPPES |
| North Carolina | Other | 180Y3 | BCBSNC |
| North Carolina | MEDICAID | 1043292386 | BCBSNC |
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