Shaw, Shanita D
Shaw, Shanita D is an sole proprietor health care provider with primary practice located at 2495 Fairway Dr , Orangeburg SC 29118-4003. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Shaw, Shanita D can be contacted via phone (803) 378-5284.Contact Information
Primary practice address
2495 Fairway Dr
Orangeburg SC 29118-4003
Phone: (803) 378-5284
Fax: (803) 531-6322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3585 | South Carolina |
Profile Details
| NPI number | 1851402432 |
|---|---|
| LBN Legal business name | Shaw, Shanita D |
| Credentials | M.A CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 26th, 2021 - about 5 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 | 1851402432 | NPPES |
| South Carolina | MEDICAID | SA0712 |
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