Boltin, Megan S

Boltin, Megan S is an individual health care provider with primary practice located at 1223 S Lake Dr Ste G , Lexington SC 29073-6889. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boltin, Megan S can be contacted via phone (803) 520-9370.

Contact Information

Primary practice address
1223 S Lake Dr Ste G Lexington SC 29073-6889
Phone: (803) 520-9370
Fax: (803) 520-9371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LL 29052 South Carolina

Profile Details

NPI number 1902921992
LBN Legal business name Boltin, Megan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 21st, 2022 - about 2 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 1902921992 NPPES
South Carolina MEDICAID 400685
South Carolina MEDICAID 3549

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