Iriza, Shannon Elisabeth
Iriza, Shannon Elisabeth is an individual health care provider with primary practice located at 2 Medical Park Rd Ste 501 , Columbia SC 29203-6839. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Iriza, Shannon Elisabeth can be contacted via phone (803) 540-1000.Contact Information
Primary practice address
2 Medical Park Rd Ste 501
Columbia SC 29203-6839
Phone: (803) 540-1000
Fax: (803) 540-1011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DO034666 | District of Columbia |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 82202 | South Carolina |
Profile Details
| NPI number | 1124438759 |
|---|---|
| LBN Legal business name | Iriza, Shannon Elisabeth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2014 |
| Last updated | Aug 29th, 2019 - about 6 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 | 1124438759 | NPPES |
| South Carolina | MEDICAID | 822024 |
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