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:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1518172972 | NPPES |
| North Carolina | MEDICAID | 5918104 | |
| North Carolina | MEDICAID | 316456 |
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