Shackelford, John H
Shackelford, John H is an individual health care provider with primary practice located at 1421 Orleans Rd , Harwich MA 02645-2148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shackelford, John H can be contacted via phone (508) 778-4777.Contact Information
Primary practice address
1421 Orleans Rd
Harwich MA 02645-2148
Phone: (508) 778-4777
Fax: (508) 771-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 220500 | Massachusetts |
Profile Details
| NPI number | 1598724072 |
|---|---|
| LBN Legal business name | Shackelford, John H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jun 17th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598724072 | NPPES |
| Massachusetts | MEDICAID | 2104296 | |
| Massachusetts | Other | J28724 | |
| Massachusetts | Other | AA35717 |
Popular Providers
-
Randell, Andrea Lee
2770 Capital Medical Blvd Ste 200 , Tallahassee FL 32308-8419 -
Green, Shari B
1010 Northern Blvd Ste 110, Great Neck NY 11021-5306 -
Dolinsky, Paul A
Fontaine Primary Care 525 Long Pond Drive, Harwich MA 02645 -
Burdette, Matthew
710 Route 28 Attn: Amanda Lauder, Harwich Port MA 02646 -
Wittman, William J
10 Bramblebush Park , Falmouth MA 02540-2325 -
Rosenthal, Eldad
525 Long Pond Drive Fontaine Medical Center, Harwich MA 02645-1227 -
Corcoran, Teresa R
710 Main St , Harwich Port MA 02646-1931 -
Koll, Brian
710 Main St , Harwich Port MA 02646-1931