Conrad, Shannon M
Conrad, Shannon M is an individual health care provider with primary practice located at 5070 International Blvd Ste 131 , N Charleston SC 29418-6007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Conrad, Shannon M can be contacted via phone (843) 402-2995.Contact Information
Primary practice address
5070 International Blvd Ste 131
N Charleston SC 29418-6007
Phone: (843) 402-2995
Fax: (843) 402-3495
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1538 | South Carolina |
Profile Details
NPI number | 1659338226 |
---|---|
LBN Legal business name | Conrad, Shannon M |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 27th, 2006 |
Last updated | Oct 15th, 2021 - about 4 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 | 1659338226 | NPPES |
South Carolina | MEDICAID | 015389 |
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