Shank, Kenneth Douglas
Shank, Kenneth Douglas is an individual health care provider with primary practice located at 815 N 3Rd St , Albemarle NC 28001-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shank, Kenneth Douglas can be contacted via phone (704) 983-3508.Contact Information
Primary practice address
815 N 3Rd St
Albemarle NC 28001-3403
Phone: (704) 983-3508
Fax: (704) 983-3509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 109181 | North Carolina |
Profile Details
| NPI number | 1083695159 |
|---|---|
| LBN Legal business name | Shank, Kenneth Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Feb 4th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083695159 | NPPES |
| North Carolina | MEDICAID | 89132T2 |
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