Iverson, Shawn Michael

Iverson, Shawn Michael is an individual health care provider with primary practice located at 100 Palmetto Health Pkwy Ste 350 , Columbia SC 29212-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Iverson, Shawn Michael can be contacted via phone (803) 434-2020.

Contact Information

Primary practice address
100 Palmetto Health Pkwy Ste 350 Columbia SC 29212-1756
Phone: (803) 434-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 37699 South Carolina

Profile Details

NPI number 1205248077
LBN Legal business name Iverson, Shawn Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2014
Last updated Oct 20th, 2022 - about 3 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 1205248077 NPPES
South Carolina MEDICAID 376998

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