Shackleton, Meghan Jo
Shackleton, Meghan Jo is an individual health care provider with primary practice located at 3111 Williamson County Pkwy , Marion IL 62959-5235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shackleton, Meghan Jo can be contacted via phone (618) 519-9200.Contact Information
Primary practice address
3111 Williamson County Pkwy
Marion IL 62959-5235
Phone: (618) 519-9200
Fax: (618) 985-9155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209.021677 | Illinois |
Profile Details
| NPI number | 1700495819 |
|---|---|
| LBN Legal business name | Shackleton, Meghan Jo |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2020 |
| Last updated | Aug 8th, 2022 - about 2 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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