Shackleford, Violet Patty
Shackleford, Violet Patty is an individual health care provider with primary practice located at 1 Medical Center Drive, Room 4601 , Morgantown WV 26506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Shackleford, Violet Patty can be contacted via phone (304) 598-0430.Contact Information
Primary practice address
1 Medical Center Drive, Room 4601
Morgantown WV 26506
Phone: (304) 598-0430
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35.150401 | Ohio |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 29882 | West Virginia |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 59016 | Kentucky |
Profile Details
NPI number | 1821593724 |
---|---|
LBN Legal business name | Shackleford, Violet Patty |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2018 |
Last updated | Jul 9th, 2024 - about 5 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.
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