Shiflett, Heather Elizabeth
Shiflett, Heather Elizabeth is an individual health care provider with primary practice located at 1040 Edgewater Corporate Pkwy Ste 104 , Fort Mill SC 29707-4526. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Shiflett, Heather Elizabeth can be contacted via phone (803) 547-8660.Contact Information
Primary practice address
1040 Edgewater Corporate Pkwy Ste 104
Fort Mill SC 29707-4526
Phone: (803) 547-8660
Fax: (704) 544-0172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1328 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 102370 | North Carolina |
Profile Details
| NPI number | 1619901568 |
|---|---|
| LBN Legal business name | Shiflett, Heather Elizabeth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Apr 18th, 2024 - about 2 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 | 1619901568 | NPPES |
| North Carolina | MEDICAID | 1619901568 | |
| North Carolina | MEDICAID | 8102101 | |
| North Carolina | MEDICAID | 1865PA |
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