Pendley, David Shane
Pendley, David Shane is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pendley, David Shane can be contacted via phone (228) 867-4000.Contact Information
Primary practice address
4500 13Th St
Gulfport MS 39501-2515
Phone: (228) 867-4000
Fax: (251) 435-6478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00026907 | Alabama |
Profile Details
| NPI number | 1548217896 |
|---|---|
| LBN Legal business name | Pendley, David Shane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Mar 1st, 2011 - about 15 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 | 1548217896 | NPPES |
| Mississippi | MEDICAID | 02936207 |
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