Shipley, Amy J

Shipley, Amy J is an individual health care provider with primary practice located at 11200 Governor Manly Way Suite 205, Raleigh NC 27614-8599. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Shipley, Amy J can be contacted via phone (919) 570-7700.

Contact Information

Primary practice address
11200 Governor Manly Way Suite 205 Raleigh NC 27614-8599
Phone: (919) 570-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2530 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 183144 North Carolina

Profile Details

NPI number 1467402024
LBN Legal business name Shipley, Amy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Aug 10th, 2021 - about 5 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 1467402024 NPPES
North Carolina MEDICAID 6107351
North Carolina Other 140WJ

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