Shue, Grady
Shue, Grady is an individual health care provider with primary practice located at 2134 14Th Avenue Cir Nw , Hickory NC 28601-7357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shue, Grady can be contacted via phone (828) 580-1235.Contact Information
Primary practice address
2134 14Th Avenue Cir Nw
Hickory NC 28601-7357
Phone: (828) 580-1235
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2005-01768 | North Carolina |
Profile Details
| NPI number | 1821034968 |
|---|---|
| LBN Legal business name | Shue, Grady |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | May 23rd, 2017 - about 8 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 | 1821034968 | NPPES |
| North Carolina | MEDICAID | 5903691 |
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