Shanahan, William J

Shanahan, William J is an sole proprietor health care provider with primary practice located at 4511 N. Davis Hwy Suite C , Pensacola FL 32503-2770. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shanahan, William J can be contacted via phone (850) 484-8448.

Contact Information

Primary practice address
4511 N. Davis Hwy Suite C Pensacola FL 32503-2770
Phone: (850) 484-8448
Fax: (850) 479-3258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0032249 Florida

Profile Details

NPI number 1649262510
LBN Legal business name Shanahan, William J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Jun 23rd, 2015 - 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 1649262510 NPPES
Florida MEDICAID 061290100
Florida Other 010028302

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