Brabham, Portereshice Shunta

Brabham, Portereshice Shunta is an sole proprietor health care provider with primary practice located at 345 Amelia St , Fairfax SC 29827-5967. She recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as her primary health care specialty. Brabham, Portereshice Shunta can be contacted via phone (803) 682-7110.

Contact Information

Primary practice address
345 Amelia St Fairfax SC 29827-5967
Phone: (803) 682-7110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1528309606
LBN Legal business name Brabham, Portereshice Shunta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2013
Last updated Mar 14th, 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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