Shattuck, Brandy Lynne
Shattuck, Brandy Lynne is an individual health care provider with primary practice located at 1322 E Michigan Ave , Lansing MI 48912-2199. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Forensic Pathology is her primary health care specialty. Shattuck, Brandy Lynne can be contacted via phone (517) 364-3963.Contact Information
Primary practice address
1322 E Michigan Ave
Lansing MI 48912-2199
Phone: (517) 364-3963
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 4301097773 | Michigan |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301097773 | Michigan |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2012019898 | Missouri |
Profile Details
NPI number | 1851659064 |
---|---|
LBN Legal business name | Shattuck, Brandy Lynne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2012 |
Last updated | Jul 2nd, 2013 - about 12 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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