Flinchum, Bethany Shaffer
Flinchum, Bethany Shaffer is an sole proprietor health care provider with primary practice located at 2001 S Main St , Wake Forest NC 27587-1652. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Flinchum, Bethany Shaffer can be contacted via phone (919) 350-0365.Contact Information
Primary practice address
2001 S Main St
Wake Forest NC 27587-1652
Phone: (919) 350-0365
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 0010-10527 | North Carolina |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-10527 | North Carolina |
Profile Details
NPI number | 1871121269 |
---|---|
LBN Legal business name | Flinchum, Bethany Shaffer |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 31st, 2020 |
Last updated | Apr 4th, 2023 - about last year |
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 | 1871121269 | NPPES |
North Carolina | MEDICAID | 1871121269 |
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