Shellhorn, Douglas B

Shellhorn, Douglas B is an individual health care provider with primary practice located at 611 Mocksville Ave , Salisbury NC 28144-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shellhorn, Douglas B can be contacted via phone (704) 633-7220.

Contact Information

Primary practice address
611 Mocksville Ave Salisbury NC 28144-2705
Fax: (704) 647-0515
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9401333 North Carolina

Profile Details

NPI number 1972589026
LBN Legal business name Shellhorn, Douglas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Mar 18th, 2020 - about 6 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 1972589026 NPPES
North Carolina MEDICAID 8976658

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