Coleman, Shannon Ilene

Coleman, Shannon Ilene is an sole proprietor health care provider with primary practice located at Taylor At Marrion St , Columbia SC 29220-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Coleman, Shannon Ilene can be contacted via phone (803) 296-2276.

Contact Information

Primary practice address
Taylor At Marrion St Columbia SC 29220-0001
Phone: (803) 296-2276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3281 South Carolina
Nursing Service Providers / Registered Nurse 163W00000X 83980 South Carolina

Profile Details

NPI number 1861538563
LBN Legal business name Coleman, Shannon Ilene
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Feb 25th, 2022 - about 2 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 1861538563 NPPES
South Carolina MEDICAID AN1926

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