Addison, Deidra Shaquana

Addison, Deidra Shaquana is an sole proprietor health care provider with primary practice located at 409 Sparkleberry Ln , Ladson SC 29456-3859. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Addison, Deidra Shaquana can be contacted via phone (803) 535-9268.

Contact Information

Primary practice address
409 Sparkleberry Ln Ladson SC 29456-3859
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1215489810
LBN Legal business name Addison, Deidra Shaquana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2016
Last updated Oct 29th, 2016 - 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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