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
Phone: (214) 824-4412
Fax: (214) 824-4431
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770586331 | NPPES |
Texas | MEDICAID | 120108905 | |
Texas | Other | 0069EY |
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