Alderson, Theresa Rose
Alderson, Theresa Rose is an individual health care provider with primary practice located at 40 Baldwin Ave , Lugoff SC 29078-9406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Alderson, Theresa Rose can be contacted via phone (803) 408-3262.Contact Information
Primary practice address
40 Baldwin Ave
Lugoff SC 29078-9406
Phone: (803) 408-3262
Fax: (803) 408-8895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27241 | South Carolina |
Profile Details
| NPI number | 1568714053 |
|---|---|
| LBN Legal business name | Alderson, Theresa Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 8th, 2012 |
| Last updated | Jul 29th, 2014 - about 10 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 | 1568714053 | NPPES |
| South Carolina | Other | 27241 | SC LIC |
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