Shockley, Alben B.

Shockley, Alben B. is an individual health care provider with primary practice located at 2211 Mayfair Dr Suite 101, Owensboro KY 42301-4568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shockley, Alben B. can be contacted via phone (270) 688-1352.

Contact Information

Primary practice address
2211 Mayfair Dr Suite 101 Owensboro KY 42301-4568
Phone: (270) 688-1352
Fax: (270) 683-4313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26126 Kentucky

Profile Details

NPI number 1205816014
LBN Legal business name Shockley, Alben B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated May 14th, 2019 - about 5 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 1205816014 NPPES
Kentucky MEDICAID 6426126600
Kentucky Other 000000049664
Kentucky MEDICAID 100224950

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