Iverson, Shawn Michael
Iverson, Shawn Michael is an individual health care provider with primary practice located at 100 Palmetto Health Pkwy Ste 350 , Columbia SC 29212-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Iverson, Shawn Michael can be contacted via phone (803) 434-2020.Contact Information
Primary practice address
100 Palmetto Health Pkwy Ste 350
Columbia SC 29212-1756
Phone: (803) 434-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 37699 | South Carolina |
Profile Details
| NPI number | 1205248077 |
|---|---|
| LBN Legal business name | Iverson, Shawn Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2014 |
| Last updated | Oct 20th, 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 | 1205248077 | NPPES |
| South Carolina | MEDICAID | 376998 |
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