Bostick, Andy

Bostick, Andy is an individual health care provider with primary practice located at 719 N Main St , Marion SC 29571-2517. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty. Bostick, Andy can be contacted via phone (843) 423-1811.

Contact Information

Primary practice address
719 N Main St Marion SC 29571-2517
Fax:
Website:

Profile Details

NPI number 1003396029
LBN Legal business name Bostick, Andy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2018
Last updated Aug 20th, 2018 - about 6 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 1003396029 NPPES
South Carolina MEDICAID SD3410

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