Shawn A Bollinger in Spartanburg - Physician Assistant
Shawn A Bollinger - NPI 1457377616
Shawn A Bollinger is a Physician Assistant in Spartanburg, South Carolina. Shawn A Bollinger practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shawn A Bollinger is 1457377616. The last update date is 2021-01-12.
Shawn A Bollinger's current location address is 225 E Wood St, Spartanburg, South Carolina. You can contact this provider via phone number 8645604420 and fax number 8645605296. The mailing address for Shawn A Bollinger is 225 E Wood St, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn A Bollinger |
|---|---|
| Address | 225 E Wood St, Spartanburg, South Carolina |
| Phone Number | 8645604420 |
| Fax Number | 8645605296 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1457377616 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2021-01-12 |
Provider Mailing Address Detail
| Address | 225 E Wood St |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 293033050 |
| Phone Number | 8645604420 |
| Fax Number | 8645605296 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2363 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2241PA | SC | -- | |
| 970018928 | RAILROAD MEDICARE PIN | ||
| 375781 | BCBS PIN |
Post Comment/ Review Below
Could you share the physical location details of Shawn A Bollinger?
The Shawn A Bollinger is situated at 225 E Wood St, in the city of Spartanburg, state of SC, with the zip code 293033050.
When did Shawn A Bollinger receive its 1457377616 assignment?
The Shawn A Bollinger was assigned its 1457377616 on 2006-07-14, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457377616 to Shawn A Bollinger?
The Centers for Medicare & Medicaid Services originally issued the 1457377616 to Shawn A Bollinger on 2006-07-14.
As of what date were the details pertaining to Shawn A Bollinger last refreshed?
The information related to the Shawn A Bollinger, including its address, specialty, and other relevant details, was last updated on 2021-01-12.
When was the information regarding Shawn A Bollinger, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shawn A Bollinger, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-01-12.