Birchenough, Shawn A

Birchenough, Shawn A is an individual health care provider with primary practice located at 391 Serpentine Dr Suite 250, Spartanburg SC 29303-3096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Birchenough, Shawn A can be contacted via phone (864) 560-6717.

Contact Information

Primary practice address
391 Serpentine Dr Suite 250 Spartanburg SC 29303-3096
Phone: (864) 560-6717
Fax: (864) 560-7105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 31645 South Carolina
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 31645 South Carolina

Profile Details

NPI number 1518172972
LBN Legal business name Birchenough, Shawn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Nov 30th, 2020 - about 5 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 1518172972 NPPES
North Carolina MEDICAID 5918104
North Carolina MEDICAID 316456

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