Summers, Shane O

Summers, Shane O is an individual health care provider with primary practice located at 221 13Th Avenue Pl Nw Ste 202, Hickory NC 28601-2596. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Summers, Shane O can be contacted via phone (828) 322-8484.

Contact Information

Primary practice address
221 13Th Avenue Pl Nw Ste 202 Hickory NC 28601-2596
Phone: (828) 322-8484
Fax: (828) 324-9526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9401061 North Carolina

Profile Details

NPI number 1497751671
LBN Legal business name Summers, Shane O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Feb 24th, 2011 - about 15 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 1497751671 NPPES
North Carolina MEDICAID 7980873

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