Bryant, Shevene

Bryant, Shevene is an sole proprietor health care provider with primary practice located at 915 S Main St , Burlington NC 27215-5756. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bryant, Shevene can be contacted via phone (336) 229-5905.

Contact Information

Primary practice address
915 S Main St Burlington NC 27215-5756
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4557 North Carolina

Profile Details

NPI number 1134146707
LBN Legal business name Bryant, Shevene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134146707 NPPES
North Carolina MEDICAID 6102565

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