Shaver, William Douglas

Shaver, William Douglas is an sole proprietor health care provider with primary practice located at 2816 Veach Road , Owensboro KY 42303-6295. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Shaver, William Douglas can be contacted via phone (270) 926-6100.

Contact Information

Primary practice address
2816 Veach Road Owensboro KY 42303-6295
Phone: (270) 926-6100
Fax: (270) 926-6195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4637 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4637 Kentucky

Profile Details

NPI number 1033220280
LBN Legal business name Shaver, William Douglas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated May 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033220280 NPPES
Kentucky MEDICAID 64046378
Kentucky MEDICAID 60046372

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