Belouin, Shannon

Belouin, Shannon is an individual health care provider with primary practice located at 3535 Clifton Glendale Road , Glendale SC 29346. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Belouin, Shannon can be contacted via phone (864) 279-6019.

Contact Information

Primary practice address
3535 Clifton Glendale Road Glendale SC 29346
Phone: (864) 279-6019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X South Carolina

Profile Details

NPI number 1417395310
LBN Legal business name Belouin, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2013
Last updated Jun 13th, 2013 - about 13 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 1417395310 NPPES
South Carolina MEDICAID 159753

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