Bryant, Shawne Renee
Bryant, Shawne Renee is an individual health care provider with primary practice located at 321 Edwin Dr Ste 102, Virginia Beach VA 23462-4542. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bryant, Shawne Renee can be contacted via phone (757) 671-1112.Contact Information
Primary practice address
321 Edwin Dr Ste 102
Virginia Beach VA 23462-4542
Phone: (757) 671-1112
Fax: (888) 276-6619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101038259 | Virginia |
Profile Details
| NPI number | 1942203773 |
|---|---|
| LBN Legal business name | Bryant, Shawne Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1942203773 | NPPES |
| Virginia | MEDICAID | 6282431 |
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