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Individual

MR. SHAUN O DOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P.

Contact information

Practice address
3845 HENDERSONVILLE RD, FLETCHER, NC 28732-8241
(828) 684-1644
(828) 684-0648
Mailing address
PO BOX 428, SKYLAND, NC 28776-0428
(828) 684-1644
(828) 684-0648

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
225000000X
Orthotic Fitter
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795114
NC
Enumeration date
03/02/2007
Last updated
11/20/2007
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