Shatley, Rebecca Dawn
Shatley, Rebecca Dawn is an individual health care provider with primary practice located at 1900 W Park Dr , North Wilkesboro NC 28659-3563. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shatley, Rebecca Dawn can be contacted via phone (336) 903-6840.Contact Information
Primary practice address
1900 W Park Dr
North Wilkesboro NC 28659-3563
Phone: (336) 903-6840
Fax: (336) 903-6841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 076451 | North Carolina |
Profile Details
| NPI number | 1992723159 |
|---|---|
| LBN Legal business name | Shatley, Rebecca Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1992723159 | NPPES |
| North Carolina | MEDICAID | 7003694 | |
| North Carolina | Other | 2592034D |
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