Shadowen, David

Shadowen, David is an individual health care provider with primary practice located at 201 Park St , Bowling Green KY 42101-1759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Shadowen, David can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
201 Park St Bowling Green KY 42101-1759
Fax: (270) 780-0472
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 26586 Kentucky

Profile Details

NPI number 1821094269
LBN Legal business name Shadowen, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 15th, 2016 - about 10 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 1821094269 NPPES
Kentucky Other 50006906 PASSPORT
Kentucky MEDICAID 64265861 PASSPORT
Kentucky Other 110027337 PASSPORT

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