Mcdougal, Shane
Mcdougal, Shane is an individual health care provider with primary practice located at 47 Highway 119 S Ste 3, Whitesburg KY 41858-7131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcdougal, Shane can be contacted via phone (606) 633-7000.Contact Information
Primary practice address
47 Highway 119 S Ste 3
Whitesburg KY 41858-7131
Phone: (606) 633-7000
Fax: (606) 633-7001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37761 | Kentucky |
Profile Details
| NPI number | 1104871862 |
|---|---|
| LBN Legal business name | Mcdougal, Shane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 17th, 2018 - 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 | 1104871862 | NPPES |
| Kentucky | MEDICAID | 64063126 |
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