Shipley, Donna M
Shipley, Donna M is an individual health care provider with primary practice located at 4003 Massard Rd , Fort Smith AR 72903. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Shipley, Donna M can be contacted via phone (479) 226-3836.Contact Information
Primary practice address
4003 Massard Rd
Fort Smith AR 72903
Phone: (479) 226-3836
Fax: (479) 434-5987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E5602 | Arkansas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Arkansas |
Profile Details
| NPI number | 1205970209 |
|---|---|
| LBN Legal business name | Shipley, Donna M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jul 21st, 2014 - about 10 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 | 1205970209 | NPPES |
| Arkansas | MEDICAID | 169634001 | |
| Arkansas | MEDICAID | 200202370A |
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