Shakun, William

Shakun, William is an individual health care provider with primary practice located at 18 Leroy St , Binghamton NY 13905-4603. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shakun, William can be contacted via phone (607) 723-8377.

Contact Information

Primary practice address
18 Leroy St Binghamton NY 13905-4603
Fax: (607) 722-1059
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 033411 New York

Profile Details

NPI number 1801938378
LBN Legal business name Shakun, William
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 9th, 2007 - about 17 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 1801938378 NPPES
New York MEDICAID 00600220

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