Douglas, Paseo Shatelle
Douglas, Paseo Shatelle is an individual health care provider with primary practice located at 2200 S Irby St , Florence SC 29505-3423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Douglas, Paseo Shatelle can be contacted via phone (843) 662-9945.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 23045 | South Carolina |
Profile Details
| NPI number | 1972155471 |
|---|---|
| LBN Legal business name | Douglas, Paseo Shatelle |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2019 |
| Last updated | Sep 23rd, 2022 - about 4 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 | 1972155471 | NPPES |
| South Carolina | Other | 23045 | SC LICENSING BOARD |
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