Aden, Mariah Montana
Aden, Mariah Montana is an individual health care provider with primary practice located at 1033 Edgefield St , Greenwood SC 29646-3205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Aden, Mariah Montana can be contacted via phone (864) 227-3908.Contact Information
Primary practice address
1033 Edgefield St
Greenwood SC 29646-3205
Phone: (864) 227-3908
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3338 | South Carolina |
Profile Details
NPI number | 1073161485 |
---|---|
LBN Legal business name | Aden, Mariah Montana |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2019 |
Last updated | Aug 30th, 2023 - 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 | 1073161485 | NPPES |
South Carolina | Other | 3335 | MEDICARE |
South Carolina | MEDICAID | 421504 | MEDICARE |
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