Shol, Mac

Shol, Mac is an sole proprietor health care provider with primary practice located at 515 Pond St , Syracuse NY 13208-2117. He recently has only one registered license in Transportation Services / Transportation Broker, which is considered as his primary health care specialty. Shol, Mac can be contacted via phone (315) 640-5457.

Contact Information

Primary practice address
515 Pond St Syracuse NY 13208-2117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Transportation Broker 347E00000X

Profile Details

NPI number 1619462199
LBN Legal business name Shol, Mac
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2018
Last updated Jun 26th, 2018 - about 8 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 1619462199 NPPES
New York Other 824371046 NON EMERGENCY MEDICAID TRANSPORT

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