Elliott, James Shannon
Elliott, James Shannon is an individual health care provider with primary practice located at 105 Chambliss Dr , Hardinsburg KY 40143-2575. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Elliott, James Shannon can be contacted via phone (270) 756-2424.Contact Information
Primary practice address
105 Chambliss Dr
Hardinsburg KY 40143-2575
Phone: (270) 756-2424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38786 | Kentucky |
Profile Details
| NPI number | 1013919174 |
|---|---|
| LBN Legal business name | Elliott, James Shannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Dec 9th, 2008 - about 18 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 | 1013919174 | NPPES |
| Kentucky | Other | 38786 | LICENSE |
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