Shelley, Donald W

Shelley, Donald W is an individual health care provider with primary practice located at 601 Halton Rd , Greenville SC 29607-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Shelley, Donald W can be contacted via phone (864) 458-7956.

Contact Information

Primary practice address
601 Halton Rd Greenville SC 29607-3403
Phone: (864) 458-7956
Fax: (864) 458-8390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 7319 South Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 17435 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 014859 Georgia

Profile Details

NPI number 1124099122
LBN Legal business name Shelley, Donald W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Oct 22nd, 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 1124099122 NPPES
South Carolina Other 4232678 AETNA PROVIDER NUMBER
South Carolina MEDICAID 73191 AETNA PROVIDER NUMBER

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