Shackleford, Violet Patty

Shackleford, Violet Patty is an individual health care provider with primary practice located at 1 Medical Center Drive, Room 4601 , Morgantown WV 26506. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Shackleford, Violet Patty can be contacted via phone (304) 598-0430.

Contact Information

Primary practice address
1 Medical Center Drive, Room 4601 Morgantown WV 26506
Phone: (304) 598-0430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.150401 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29882 West Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 59016 Kentucky

Profile Details

NPI number 1821593724
LBN Legal business name Shackleford, Violet Patty
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2018
Last updated Jul 9th, 2024 - about 2 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.

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