Shipley, James Robert

Shipley, James Robert is an sole proprietor health care provider with primary practice located at 367 S Andy Griffith Pkwy Ste 200 , Mount Airy NC 27030-4010. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Shipley, James Robert can be contacted via phone (336) 443-9190.

Contact Information

Primary practice address
367 S Andy Griffith Pkwy Ste 200 Mount Airy NC 27030-4010
Phone: (336) 443-9190
Fax: (336) 745-5936
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 519 North Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 519 North Carolina

Profile Details

NPI number 1326195504
LBN Legal business name Shipley, James Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Feb 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326195504 NPPES
North Carolina MEDICAID 1326195504
North Carolina Other NCA058B699
North Carolina Other P01459103

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