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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174581284 NPPES
North Carolina MEDICAID 891205U

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