Shealy, Carl B
Shealy, Carl B is an individual health care provider with primary practice located at 121 Park Central Dr 200, Columbia SC 29203-6469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shealy, Carl B can be contacted via phone (803) 252-9907.Contact Information
Primary practice address
121 Park Central Dr 200
Columbia SC 29203-6469
Phone: (803) 252-9907
Fax: (803) 252-9906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 23581 | South Carolina |
Profile Details
| NPI number | 1861467235 |
|---|---|
| LBN Legal business name | Shealy, Carl B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Nov 2nd, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861467235 | NPPES |
| South Carolina | MEDICAID | 235819 |
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