Shaver, Ellen G
Shaver, Ellen G is an individual health care provider with primary practice located at 840 Stevens Creek Rd , Augusta GA 30907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Shaver, Ellen G can be contacted via phone (706) 722-6957.Contact Information
Primary practice address
840 Stevens Creek Rd
Augusta GA 30907
Phone: (706) 722-6957
Fax: (706) 722-7454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 041670 | Georgia |
Profile Details
| NPI number | 1457306821 |
|---|---|
| LBN Legal business name | Shaver, Ellen G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Jun 20th, 2014 - about 10 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 | 1457306821 | NPPES |
| South Carolina | MEDICAID | G41670 | |
| South Carolina | MEDICAID | 000709607E | |
| South Carolina | MEDICAID | 000709607G |
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