Shelbourne, Courtney W
Shelbourne, Courtney W is an sole proprietor health care provider with primary practice located at 198 Rutledge Ave Suite 4, Charleston SC 29403-5817. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Shelbourne, Courtney W can be contacted via phone (843) 853-5859.Contact Information
Primary practice address
198 Rutledge Ave Suite 4
Charleston SC 29403-5817
Phone: (843) 853-5859
Fax: (843) 853-5861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3426 | South Carolina |
Profile Details
| NPI number | 1407857428 |
|---|---|
| LBN Legal business name | Shelbourne, Courtney W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jan 25th, 2013 - about 11 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 | 1407857428 | NPPES |
| South Carolina | MEDICAID | ZA9641 |
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