Stanko, Shelley Bundy
Stanko, Shelley Bundy is an individual health care provider with primary practice located at 175 City Hill Dr , London KY 40741-3037. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Stanko, Shelley Bundy can be contacted via phone (606) 877-2050.Contact Information
Primary practice address
175 City Hill Dr
London KY 40741-3037
Phone: (606) 877-2050
Fax: (606) 877-2080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38962 | Kentucky |
Profile Details
| NPI number | 1043232101 |
|---|---|
| LBN Legal business name | Stanko, Shelley Bundy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | May 3rd, 2019 - about 5 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 | 1043232101 | NPPES |
| Kentucky | Other | 4000501 | MEDICARE LAB GROUP |
| Kentucky | Other | CB8799 | MEDICARE LAB GROUP |
| Kentucky | Other | 37903705 | MEDICARE LAB GROUP |
| Kentucky | Other | P00145375 | MEDICARE LAB GROUP |
| Kentucky | MEDICAID | 64091309 | MEDICARE LAB GROUP |
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