Bolen, Shannon L
Bolen, Shannon L is an sole proprietor health care provider with primary practice located at 204 West Hill Blvd. 437Th Medical Group/Sgoh, Charleston Afb SC 29404-4704. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bolen, Shannon L can be contacted via phone (843) 963-6972.Contact Information
Primary practice address
204 West Hill Blvd. 437Th Medical Group/Sgoh
Charleston Afb SC 29404-4704
Phone: (843) 963-6972
Fax: (843) 963-6930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 20642 | California |
Profile Details
| NPI number | 1023200466 |
|---|---|
| LBN Legal business name | Bolen, Shannon L |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Sep 13th, 2007 - about 18 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.
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