Sundlie, Shane Megan
Sundlie, Shane Megan is an individual health care provider with primary practice located at 403 Fairview St , Clinton NC 28328-2399. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sundlie, Shane Megan can be contacted via phone (910) 592-6011.Contact Information
Primary practice address
403 Fairview St
Clinton NC 28328-2399
Phone: (910) 592-6011
Fax: (910) 592-0819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2021-01125 | North Carolina |
Profile Details
| NPI number | 1154813764 |
|---|---|
| LBN Legal business name | Sundlie, Shane Megan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2018 |
| Last updated | Jul 8th, 2022 - about 4 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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