Shotwell, Joyce M

Shotwell, Joyce M is an individual health care provider with primary practice located at 3801 Gaston Ave Suite 250, Dallas TX 75246-1541. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Other Service Providers / Specialist is her primary health care specialty. Shotwell, Joyce M can be contacted via phone (214) 824-4412.

Contact Information

Primary practice address
3801 Gaston Ave Suite 250 Dallas TX 75246-1541
Fax: (214) 824-4431
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F4525 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X F4525 Texas
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X F4525 Texas

Profile Details

NPI number 1770586331
LBN Legal business name Shotwell, Joyce M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 2nd, 2015 - about 9 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 1770586331 NPPES
Texas MEDICAID 120108905
Texas Other 0069EY

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