Baxley, Elaine B
Baxley, Elaine B is an sole proprietor health care provider with primary practice located at 643 Highway 1 S , Lugoff SC 29078-9174. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Baxley, Elaine B can be contacted via phone (803) 243-0988.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 12579 | South Carolina |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12579 | South Carolina |
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 12579 | South Carolina |
Profile Details
NPI number | 1831150226 |
---|---|
LBN Legal business name | Baxley, Elaine B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 28th, 2006 |
Last updated | Jul 12th, 2024 - about 5 months 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 | 1831150226 | NPPES |
South Carolina | MEDICAID | 125796 |
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