Herring, Shana K
Herring, Shana K is an sole proprietor health care provider with primary practice located at 143 Canal St Ste 400 Suite #2, Pooler GA 31322-6016. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Herring, Shana K can be contacted via phone (912) 748-2303.Contact Information
Primary practice address
143 Canal St Ste 400 Suite #2
Pooler GA 31322-6016
Phone: (912) 748-2303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN012328 | Georgia |
Profile Details
| NPI number | 1164498507 |
|---|---|
| LBN Legal business name | Herring, Shana K |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2006 |
| Last updated | Dec 22nd, 2016 - about 8 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 | 1164498507 | NPPES |
| Georgia | MEDICAID | 623961158A | |
| Georgia | Other | 9180195 |
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