Sheldon, Phyllis C

Sheldon, Phyllis C is an individual health care provider with primary practice located at 124 Mallard St , Greenville SC 29601-4046. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Sheldon, Phyllis C can be contacted via phone (864) 241-1040.

Contact Information

Primary practice address
124 Mallard St Greenville SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-1016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 52597 South Carolina

Profile Details

NPI number 1861406696
LBN Legal business name Sheldon, Phyllis C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 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 1861406696 NPPES
South Carolina MEDICAID 301100

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