Odell, Timothy Shawn
Odell, Timothy Shawn is an individual health care provider with primary practice located at 1075 Boiling Springs Rd , Spartanburg SC 29303-2248. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Odell, Timothy Shawn can be contacted via phone (864) 583-7265.Contact Information
Primary practice address
1075 Boiling Springs Rd
Spartanburg SC 29303-2248
Phone: (864) 583-7265
Fax: (864) 591-0422
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | A777NS | South Carolina |
Profile Details
NPI number | 1104890870 |
---|---|
LBN Legal business name | Odell, Timothy Shawn |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Mar 24th, 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.
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