Shirley, Gene
Shirley, Gene is an individual health care provider with primary practice located at 1840 Owen Dr Ste 102 , Fayetteville NC 28304-3455. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as his primary health care specialty. Shirley, Gene can be contacted via phone (910) 484-2645.Contact Information
Primary practice address
1840 Owen Dr Ste 102
Fayetteville NC 28304-3455
Phone: (910) 484-2645
Fax: (910) 484-0866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X |
Profile Details
| NPI number | 1669592804 |
|---|---|
| LBN Legal business name | Shirley, Gene |
| Credentials | ROF |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1669592804 | NPPES |
| North Carolina | MEDICAID | 7795271 |
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