Egge, Shana Fay

Egge, Shana Fay is an individual health care provider with primary practice located at 20 Medical Ridge Dr , Greenville SC 29605-4267. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Egge, Shana Fay can be contacted via phone (864) 220-7272.

Contact Information

Primary practice address
20 Medical Ridge Dr Greenville SC 29605-4267
Phone: (864) 220-7272
Fax: (864) 241-9211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2004-01206 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35176 South Carolina

Profile Details

NPI number 1760441208
LBN Legal business name Egge, Shana Fay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Feb 19th, 2014 - about 10 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 1760441208 NPPES
South Carolina MEDICAID G51573
South Carolina MEDICAID 89138PG

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