Shirley Elee, Lavette M
Shirley Elee, Lavette M is an individual health care provider with primary practice located at 420 Park St , Belmont NC 28012-3393. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shirley Elee, Lavette M can be contacted via phone (704) 631-1820.Contact Information
Primary practice address
420 Park St
Belmont NC 28012-3393
Phone: (704) 631-1820
Fax: (704) 825-5443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-03734 | North Carolina |
Profile Details
NPI number | 1053669663 |
---|---|
LBN Legal business name | Shirley Elee, Lavette M |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2012 |
Last updated | Sep 23rd, 2016 - about 9 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 | 1053669663 | NPPES |
South Carolina | MEDICAID | 1491PA | |
South Carolina | MEDICAID | 1053669663 |
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