Allyn, Andrea L

Allyn, Andrea L is an individual health care provider with primary practice located at 10110 Clemson Blvd , Seneca SC 29678-0812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Allyn, Andrea L can be contacted via phone (864) 482-0500.

Contact Information

Primary practice address
10110 Clemson Blvd Seneca SC 29678-0812
Phone: (864) 482-0500
Fax: (864) 482-0505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30703 South Carolina

Profile Details

NPI number 1851363733
LBN Legal business name Allyn, Andrea L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851363733 NPPES
South Carolina Other AA2717 MEDICARE PTAN
South Carolina MEDICAID 000222285E MEDICARE PTAN
South Carolina MEDICAID 1851363733 MEDICARE PTAN

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