Shadowen, Michael W

Shadowen, Michael W is an individual health care provider with primary practice located at 106 E Wayne St , Glasgow KY 42141-2636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Shadowen, Michael W can be contacted via phone (270) 651-9129.

Contact Information

Primary practice address
106 E Wayne St Glasgow KY 42141-2636
Phone: (270) 651-9129
Fax: (270) 651-4916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21473 Kentucky

Profile Details

NPI number 1144289448
LBN Legal business name Shadowen, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Sep 15th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144289448 NPPES
Kentucky MEDICAID 64214737
Kentucky Other 000000057712

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