Daniel Watkins Shattuck in Raleigh - Professional

Daniel Watkins Shattuck - NPI 1558315820

Daniel Watkins Shattuck is a Professional in Raleigh, North Carolina. Daniel Watkins Shattuck practices all healthcare services and medical treatments related to Professional. The NPI Number for Daniel Watkins Shattuck is 1558315820. The last update date is 2021-12-01.

Daniel Watkins Shattuck's current location address is 2501 Atrium Dr Ste 100, Raleigh, North Carolina. You can contact this provider via phone number 9197632760 and fax number 9193599705. The mailing address for Daniel Watkins Shattuck is 2501 Atrium Dr Ste 100, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Daniel Watkins Shattuck
Address 2501 Atrium Dr Ste 100, Raleigh, North Carolina
Phone Number 9197632760
Fax Number 9193599705
Sole Proprietor Y
Credentials PH.D., LCM

NPI Number Detail

NPI Number 1558315820
Provider Enumeration Date 2006-05-20
Last Updated Date 2021-12-01

Provider Mailing Address Detail

Address 2501 Atrium Dr Ste 100
City Raleigh
State North Carolina (NC)
Post Code 276076452
Phone Number 9197632760
Fax Number 9193599705

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 3398
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6102454 NC --
E0478 NC MEDCOST PREFERRED
75888 NC BLUE CROSS AND BLUE SHIEL

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FAQs about Daniel Watkins Shattuck

What is the unique provider identifier assigned to Daniel Watkins Shattuck?

The Daniel Watkins Shattuck has been issued the NPI (National Provider Identifier) 1558315820 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Daniel Watkins Shattuck is physically located?

The Daniel Watkins Shattuck is situated at the following address: 2501 Atrium Dr Ste 100, Raleigh, NC 276076452.

What is Daniel Watkins Shattuck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Daniel Watkins Shattuck is Professional, and the corresponding taxonomy classification code for this specialized field is 101Yp2500X.

On what date did the Centers for Medicare & Medicaid Services assign the 1558315820 to Daniel Watkins Shattuck?

The Centers for Medicare & Medicaid Services assigned the 1558315820 to Daniel Watkins Shattuck on 2006-05-20.

When was the information related to Daniel Watkins Shattuck most recently updated or refreshed?

The details pertaining to the Daniel Watkins Shattuck, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-01.

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