Shields, Laura

Shields, Laura is an sole proprietor health care provider with primary practice located at 751 E Georgia Rd , Woodruff SC 29388-8787. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Shields, Laura can be contacted via phone (864) 476-7400.

Contact Information

Primary practice address
751 E Georgia Rd Woodruff SC 29388-8787
Phone: (864) 476-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1023591179
LBN Legal business name Shields, Laura
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2018
Last updated Mar 28th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023591179 NPPES
South Carolina MEDICAID 58-2324540
South Carolina MEDICAID BB1047

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