Shadbolt, Jerry

Shadbolt, Jerry is an individual health care provider with primary practice located at 1215 Alice Dr , Sumter SC 29150-1905. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Shadbolt, Jerry can be contacted via phone (803) 778-5223.

Contact Information

Primary practice address
1215 Alice Dr Sumter SC 29150-1905
Fax:
Website:

Health care specialties

Profile Details

NPI number 1932192671
LBN Legal business name Shadbolt, Jerry
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jul 8th, 2007 - 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.

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