Shaver, Kerry Eugene
Shaver, Kerry Eugene is an individual health care provider with primary practice located at 604 N Acadia Rd Ste 410, Thibodaux LA 70301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shaver, Kerry Eugene can be contacted via phone (985) 493-4004.Contact Information
Primary practice address
604 N Acadia Rd Ste 410
Thibodaux LA 70301
Phone: (985) 493-4004
Fax: (985) 493-4007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 204575 | Louisiana |
Profile Details
| NPI number | 1285805952 |
|---|---|
| LBN Legal business name | Shaver, Kerry Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2008 |
| Last updated | Jul 5th, 2018 - about 6 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 | 1285805952 | NPPES |
| Louisiana | Other | P01169638 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1500640 | RAILROAD MEDICARE |
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