Shadduck, Phillip Price
Shadduck, Phillip Price is an individual health care provider with primary practice located at 120 William Penn Plz , Durham NC 27704-2150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shadduck, Phillip Price can be contacted via phone (919) 220-5255.Contact Information
Primary practice address
120 William Penn Plz
Durham NC 27704-2150
Phone: (919) 220-5255
Fax: (919) 313-1276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 93-00312 | North Carolina |
Profile Details
| NPI number | 1316921828 |
|---|---|
| LBN Legal business name | Shadduck, Phillip Price |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Sep 23rd, 2013 - about 13 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 | 1316921828 | NPPES |
| North Carolina | MEDICAID | 8975341 | |
| North Carolina | Other | 75341 |
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