Shealy, Michael James

Shealy, Michael James is an individual health care provider with primary practice located at 2001 Vail Ave , Charlotte NC 28207-1248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Shealy, Michael James can be contacted via phone (704) 973-5500.

Contact Information

Primary practice address
2001 Vail Ave Charlotte NC 28207-1248
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2011-01411 North Carolina

Profile Details

NPI number 1972778488
LBN Legal business name Shealy, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972778488 NPPES
North Carolina Other 2011-01411 STATE MEDICAL BOARD
North Carolina Other 27907 STATE MEDICAL BOARD

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