Individual
ALFRET NORMAN SHAKESPRERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 SOMERSET BLVD, SUITE 100, CHARLES TOWN, WV 25414-4997
(304) 728-9797
(304) 728-9791
Mailing address
710 SOMERSET BLVD, SUITE 100, CHARLES TOWN, WV 25414-4997
(304) 728-9797
(304) 728-9791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19076
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080920000
—
WV
Enumeration date
04/25/2006
Last updated
01/08/2021
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