Shipley, Amy J
Shipley, Amy J is an individual health care provider with primary practice located at 11200 Governor Manly Way Suite 205, Raleigh NC 27614-8599. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Shipley, Amy J can be contacted via phone (919) 570-7700.Contact Information
Primary practice address
11200 Governor Manly Way Suite 205
Raleigh NC 27614-8599
Phone: (919) 570-7700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2530 | North Carolina |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 183144 | North Carolina |
Profile Details
NPI number | 1467402024 |
---|---|
LBN Legal business name | Shipley, Amy J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Aug 10th, 2021 - 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 | 1467402024 | NPPES |
North Carolina | MEDICAID | 6107351 | |
North Carolina | Other | 140WJ |
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