Shannon, William Bartholomew
Shannon, William Bartholomew is an sole proprietor health care provider with primary practice located at 1061 X Ray Dr , Gastonia NC 28054-7489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shannon, William Bartholomew can be contacted via phone (704) 861-8557.Contact Information
Primary practice address
1061 X Ray Dr
Gastonia NC 28054-7489
Phone: (704) 861-8557
Fax: (704) 853-0003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25080 | North Carolina |
Profile Details
| NPI number | 1619958139 |
|---|---|
| LBN Legal business name | Shannon, William Bartholomew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Dec 3rd, 2010 - about 14 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 | 1619958139 | NPPES |
| North Carolina | Other | 0933289001 | CIGNA HEALTHCARE OF NC |
| North Carolina | Other | 17924 | CIGNA HEALTHCARE OF NC |
| North Carolina | Other | 75443 | CIGNA HEALTHCARE OF NC |
| North Carolina | Other | 81047089 | CIGNA HEALTHCARE OF NC |
| North Carolina | Other | 030118 | CIGNA HEALTHCARE OF NC |
| North Carolina | MEDICAID | 8975443 | CIGNA HEALTHCARE OF NC |
| North Carolina | Other | 8690 | CIGNA HEALTHCARE OF NC |
| North Carolina | Other | 0840038 | CIGNA HEALTHCARE OF NC |
| North Carolina | Other | 2803998 | CIGNA HEALTHCARE OF NC |
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