Kershaw, Pamela Elyse
Kershaw, Pamela Elyse is an sole proprietor health care provider with primary practice located at 2060 Palm Bay Rd Ne Ste 5 , Palm Bay FL 32905-2931. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Kershaw, Pamela Elyse can be contacted via phone (321) 591-7450.Contact Information
Primary practice address
2060 Palm Bay Rd Ne Ste 5
Palm Bay FL 32905-2931
Phone: (321) 591-7450
Fax: (321) 951-1004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH0006237 | Florida |
| Chiropractic Providers / Chiropractor | 111N00000X | 6125 | New York |
Profile Details
| NPI number | 1386844561 |
|---|---|
| LBN Legal business name | Kershaw, Pamela Elyse |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Jul 25th, 2007 - about 18 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 | 1386844561 | NPPES |
| Florida | Other | CH0006237 | FL LICENSE |
| Florida | Other | 6125 | FL LICENSE |
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