Shattuck, Anthony

Shattuck, Anthony is an individual health care provider with primary practice located at 2D Marine Special Operations Battalion Psc 20183, Camp Lejeune NC 28542. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Shattuck, Anthony can be contacted via phone (910) 450-7704.

Contact Information

Primary practice address
2D Marine Special Operations Battalion Psc 20183 Camp Lejeune NC 28542
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1780838524
LBN Legal business name Shattuck, Anthony
Credentials SOIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2008
Last updated Nov 6th, 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.

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