Pendley, David Shane

Pendley, David Shane is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pendley, David Shane can be contacted via phone (228) 867-4000.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2515
Fax: (251) 435-6478
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 00026907 Alabama

Profile Details

NPI number 1548217896
LBN Legal business name Pendley, David Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Mar 1st, 2011 - about 13 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 1548217896 NPPES
Mississippi MEDICAID 02936207

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