Birchmore, Carolyn
Birchmore, Carolyn is an individual health care provider with primary practice located at 1316 N Lake Dr , Lexington SC 29072-7653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Birchmore, Carolyn can be contacted via phone (803) 358-1191.Contact Information
Primary practice address
1316 N Lake Dr
Lexington SC 29072-7653
Phone: (803) 358-1191
Fax: (803) 358-1180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | F625 | South Carolina |
Profile Details
| NPI number | 1023238748 |
|---|---|
| LBN Legal business name | Birchmore, Carolyn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| Last updated | Apr 2nd, 2012 - about 12 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 | 1023238748 | NPPES |
| South Carolina | Other | AA8494A871 | MEDICARE PTAN |
| South Carolina | MEDICAID | NP0216 | MEDICARE PTAN |
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