Shadduck, Phillip Price

Shadduck, Phillip Price is an individual health care provider with primary practice located at 120 William Penn Plz , Durham NC 27704-2150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shadduck, Phillip Price can be contacted via phone (919) 220-5255.

Contact Information

Primary practice address
120 William Penn Plz Durham NC 27704-2150
Phone: (919) 220-5255
Fax: (919) 313-1276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 93-00312 North Carolina

Profile Details

NPI number 1316921828
LBN Legal business name Shadduck, Phillip Price
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Sep 23rd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316921828 NPPES
North Carolina MEDICAID 8975341
North Carolina Other 75341

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