Gilbert, Shelley M
Gilbert, Shelley M is an individual health care provider with primary practice located at 4301 Dick Pond Rd , Myrtle Beach SC 29588-6807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gilbert, Shelley M can be contacted via phone (843) 652-8100.Contact Information
Primary practice address
4301 Dick Pond Rd
Myrtle Beach SC 29588-6807
Phone: (843) 652-8100
Fax: (843) 652-8122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | TL2725 | |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 013354 | New York |
Profile Details
| NPI number | 1467698621 |
|---|---|
| LBN Legal business name | Gilbert, Shelley M |
| Credentials | RPA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2008 |
| Last updated | Apr 6th, 2017 - about 9 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 | 1467698621 | NPPES |
| South Carolina | Other | TL2725 | SC MEDICAL LICENSE |
| South Carolina | MEDICAID | 03160950 | SC MEDICAL LICENSE |
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