Bollinger, Shawn A

Bollinger, Shawn A is an individual health care provider with primary practice located at 225 E Wood St , Spartanburg SC 29303-3050. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bollinger, Shawn A can be contacted via phone (864) 560-4420.

Contact Information

Primary practice address
225 E Wood St Spartanburg SC 29303-3050
Phone: (864) 560-4420
Fax: (864) 560-5296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10000462A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2363 South Carolina

Profile Details

NPI number 1457377616
LBN Legal business name Bollinger, Shawn A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jan 12th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457377616 NPPES
South Carolina MEDICAID 2241PA
South Carolina Other 970018928
South Carolina Other 000000375781

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