Berrian, Shannon B
Berrian, Shannon B is an individual health care provider with primary practice located at 811 W Main St Ste 205 , Lexington SC 29072-2500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Berrian, Shannon B can be contacted via phone (803) 358-6115.Contact Information
Primary practice address
811 W Main St Ste 205
Lexington SC 29072-2500
Phone: (803) 358-6115
Fax: (803) 358-6117
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3916 | South Carolina |
Profile Details
| NPI number | 1417098039 |
|---|---|
| LBN Legal business name | Berrian, Shannon B |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Oct 13th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417098039 | NPPES |
| South Carolina | Other | 3916 | LICENSE |
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