Bledsoe, Shannon
Bledsoe, Shannon is an individual health care provider with primary practice located at 160 Perpetual Sq , Anderson SC 29621-1713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bledsoe, Shannon can be contacted via phone (864) 512-5880.Contact Information
Primary practice address
160 Perpetual Sq
Anderson SC 29621-1713
Phone: (864) 512-5880
Fax: (864) 375-1347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 22583 | South Carolina |
Profile Details
| NPI number | 1235170200 |
|---|---|
| LBN Legal business name | Bledsoe, Shannon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jan 5th, 2023 - about 3 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 | 1235170200 | NPPES |
| South Carolina | MEDICAID | 225839 |
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