Shettle, Philip Leroy

Shettle, Philip Leroy is an sole proprietor health care provider with primary practice located at 670 Clearwater Largo Rd N Suite A, Largo FL 33770-2377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shettle, Philip Leroy can be contacted via phone (727) 581-8755.

Contact Information

Primary practice address
670 Clearwater Largo Rd N Suite A Largo FL 33770-2377
Phone: (727) 581-8755
Fax: (727) 581-8756
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS 1590 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 29764 Missouri

Profile Details

NPI number 1427056548
LBN Legal business name Shettle, Philip Leroy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Aug 25th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427056548 NPPES
Florida MEDICAID 046607700
Florida Other 81475
Florida Other 185886390

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