Shobe, Autumn R.
Shobe, Autumn R. is an individual health care provider with primary practice located at 3510 N Highway 17 Ste 325 , Mt Pleasant SC 29466-8232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Shobe, Autumn R. can be contacted via phone (843) 606-7020.Contact Information
Primary practice address
3510 N Highway 17 Ste 325
Mt Pleasant SC 29466-8232
Phone: (843) 606-7020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 82963 | South Carolina |
Profile Details
| NPI number | 1316386568 |
|---|---|
| LBN Legal business name | Shobe, Autumn R. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2013 |
| Last updated | Sep 28th, 2022 - about 3 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 | 1316386568 | NPPES |
| South Carolina | MEDICAID | 829634 |
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