Shivers, Selby B

Shivers, Selby B is an individual health care provider with primary practice located at 907 E Lamar Alexander Pkwy , Maryville TN 37804-5015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shivers, Selby B can be contacted via phone (865) 983-7211.

Contact Information

Primary practice address
907 E Lamar Alexander Pkwy Maryville TN 37804-5015
Phone: (865) 983-7211
Fax: (865) 450-9374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17667 Tennessee

Profile Details

NPI number 1932190220
LBN Legal business name Shivers, Selby B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 2nd, 2010 - about 16 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 1932190220 NPPES
Tennessee Other 3028803 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 3047651 BLUE CROSS BLUE SHIELD TN

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