Shackelford, Claude Edward

Shackelford, Claude Edward is an individual health care provider with primary practice located at 3098 Campbell Station Pkwy , Spring Hill TN 37174-6270. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shackelford, Claude Edward can be contacted via phone (615) 302-1111.

Contact Information

Primary practice address
3098 Campbell Station Pkwy Spring Hill TN 37174-6270
Phone: (615) 302-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37507 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37507 Tennessee

Profile Details

NPI number 1942245683
LBN Legal business name Shackelford, Claude Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Mar 23rd, 2022 - about 4 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 1942245683 NPPES
Tennessee MEDICAID 3885778
Tennessee Other 3885771
Tennessee MEDICAID 3718641
Tennessee Other 4062023
Tennessee MEDICAID 3710089
Tennessee MEDICAID 3885771
Tennessee Other 4088605

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