Shockley, Nadia C

Shockley, Nadia C is an individual health care provider with primary practice located at 12690 Mcmanus Blvd , Newport News VA 23602-4433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Shockley, Nadia C can be contacted via phone (757) 875-7700.

Contact Information

Primary practice address
12690 Mcmanus Blvd Newport News VA 23602-4433
Phone: (757) 875-7700
Fax: (757) 875-7721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28682 Arizona
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101243667 Virginia

Profile Details

NPI number 1952367195
LBN Legal business name Shockley, Nadia C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jun 9th, 2009 - about 16 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 1952367195 NPPES
Arizona MEDICAID 532631

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