Shealy, Jerri Lynn
Shealy, Jerri Lynn is an individual health care provider with primary practice located at 119 Amicks Ferry Rd. , Chapin SC 29036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shealy, Jerri Lynn can be contacted via phone (803) 932-2200.Contact Information
Primary practice address
119 Amicks Ferry Rd.
Chapin SC 29036
Phone: (803) 932-2200
Fax: (803) 932-2225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 18804 | South Carolina |
Profile Details
| NPI number | 1477661031 |
|---|---|
| LBN Legal business name | Shealy, Jerri Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jan 6th, 2012 - about 14 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 | 1477661031 | NPPES |
| South Carolina | MEDICAID | 188040 |
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