Burgess, Shelia Green

Burgess, Shelia Green is an sole proprietor health care provider with primary practice located at 181 E Evans St Ste D16 , Florence SC 29506-5524. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Burgess, Shelia Green can be contacted via phone (843) 230-1946.

Contact Information

Primary practice address
181 E Evans St Ste D16 Florence SC 29506-5524
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1184082547
LBN Legal business name Burgess, Shelia Green
Credentials M.ED., BSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2016
Last updated Feb 1st, 2016 - about 10 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 1184082547 NPPES
South Carolina MEDICAID CM1030

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