Shone, Dallas

Shone, Dallas is an individual health care provider with primary practice located at 105 W Stone Dr Ste 4C, Kingsport TN 37660-3256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shone, Dallas can be contacted via phone (423) 578-1595.

Contact Information

Primary practice address
105 W Stone Dr Ste 4C Kingsport TN 37660-3256
Phone: (423) 578-1595
Fax: (423) 392-6624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD25581 Tennessee
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101051162 Virginia

Profile Details

NPI number 1043213101
LBN Legal business name Shone, Dallas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043213101 NPPES
Virginia MEDICAID 006011527
Virginia MEDICAID 1513713
Virginia MEDICAID 3084190
Virginia MEDICAID 6011527

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