Anderson, Carol E. O.

Anderson, Carol E. O. is an sole proprietor health care provider with primary practice located at 1905 Sunset Blvd Ste C , West Columbia SC 29169. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Carol E. O. can be contacted via phone (803) 851-0902.

Contact Information

Primary practice address
1905 Sunset Blvd Ste C West Columbia SC 29169
Phone: (803) 851-0902
Fax: (803) 851-7192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6960 South Carolina

Profile Details

NPI number 1013297928
LBN Legal business name Anderson, Carol E. O.
Credentials LISW-CP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2011
Last updated Nov 25th, 2020 - about 4 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 1013297928 NPPES
South Carolina MEDICAID GP7051
South Carolina MEDICAID SW1077

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