Shackelford, Donald Paul
Shackelford, Donald Paul is an individual health care provider with primary practice located at 2100 Stantonsburg Rd , Greenville NC 27834-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Shackelford, Donald Paul can be contacted via phone (252) 847-2273.Contact Information
Primary practice address
2100 Stantonsburg Rd
Greenville NC 27834-2818
Phone: (252) 847-2273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207VC0200X | 9501090 | North Carolina |
Profile Details
NPI number | 1174581284 |
---|---|
LBN Legal business name | Shackelford, Donald Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2006 |
Last updated | Mar 6th, 2024 - about 6 months 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 | 1174581284 | NPPES |
North Carolina | MEDICAID | 891205U |
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