Boulware, Shakeyla
Boulware, Shakeyla is an individual health care provider with primary practice located at 1021 Pinnacle Point Dr Ste 120 , Columbia SC 29223-5740. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Boulware, Shakeyla can be contacted via phone (803) 722-4008.Contact Information
Primary practice address
1021 Pinnacle Point Dr Ste 120
Columbia SC 29223-5740
Phone: (803) 722-4008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 8980 | South Carolina |
Profile Details
| NPI number | 1437835501 |
|---|---|
| LBN Legal business name | Boulware, Shakeyla |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2023 |
| Last updated | Nov 21st, 2023 - 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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