BRANDY LYNNE SHATTUCK M. D. NPI 1851659064

NPI Information

NPI: 1851659064
Provider Name: BRANDY LYNNE SHATTUCK, M. D.
Classification: Pathology - 207ZF0201X
Entity Type: Individual

Specialization: Forensic Pathology

Address:
1322 E MICHIGAN AVE
LANSING, MI
ZIP 48912
Phone: (517) 364-3963
Get Directions

Brandy Lynne Shattuck, M. D. is a forensic pathology pathology in Lansing, MI. The provider is a forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. Brandy Lynne Shattuck, M. D. NPI is 1851659064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1322 E MICHIGAN AVE
LANSING, MI
ZIP 48912-199
Phone: (517) 364-3963

The enumeration date for this NPI number is 4/25/2012 and was last updated on 7/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	4301097773	MICHIGAN	No
2	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	2012019898	MISSOURI	No
3	207ZF0201X	Pathology	Forensic Pathology	4301097773	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	152360615	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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