Individual
STEPHEN CRAIG SHY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 20TH ST, HUNTINGTON, WV 25703-1512
(304) 781-0076
(304) 525-7402
Mailing address
PO BOX 390, HUNTINGTON, WV 25708-0390
(304) 429-1088
(304) 429-3109
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.008017
OH
208D00000X
General Practice Physician
03066
KY
208D00000X
General Practice Physician
Primary
1947
WV
208D00000X
General Practice Physician
51270
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002199
—
WV
05
—
7100067340
—
KY
Enumeration date
02/02/2006
Last updated
10/20/2022
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