Prince, Shawna Fortson

Prince, Shawna Fortson is an individual health care provider with primary practice located at 1547 Parkway Suite 200, Greenwood SC 29646-4081. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Prince, Shawna Fortson can be contacted via phone (864) 223-8331.

Contact Information

Primary practice address
1547 Parkway Suite 200 Greenwood SC 29646-4081
Phone: (864) 223-8331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1841306388
LBN Legal business name Prince, Shawna Fortson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 9th, 2007 - about 17 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 1841306388 NPPES
South Carolina MEDICAID 421504

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