Shevlin, Douglas William

Shevlin, Douglas William is an individual health care provider with primary practice located at 9705 Lenexa Dr , Lenexa KS 66215-1345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Shevlin, Douglas William can be contacted via phone (913) 348-2565.

Contact Information

Primary practice address
9705 Lenexa Dr Lenexa KS 66215-1345
Phone: (913) 348-2565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2013018617 Missouri
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036093225 Illinois
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0436540 Kansas

Profile Details

NPI number 1932114741
LBN Legal business name Shevlin, Douglas William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Jun 23rd, 2022 - about 3 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 1932114741 NPPES
Illinois Other 0360932252 MEDICAID
Illinois Other 201073120A MEDICAID
Illinois Other 2013018617 MEDICAID
Illinois Other PENDING MEDICAID

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