Botelho, Tina M
Botelho, Tina M is an individual health care provider with primary practice located at 498 Wando Park Blvd Ste 500 , Mount Pleasant SC 29464-7963. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Botelho, Tina M can be contacted via phone (843) 606-9199.Contact Information
Primary practice address
498 Wando Park Blvd Ste 500
Mount Pleasant SC 29464-7963
Phone: (843) 606-9199
Fax: (843) 718-2858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25344 | South Carolina |
Profile Details
| NPI number | 1023044245 |
|---|---|
| LBN Legal business name | Botelho, Tina M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Jan 21st, 2024 - about 10 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 | 1023044245 | NPPES |
| South Carolina | Other | 571020809058 | TRICARE SC |
| South Carolina | Other | A913 | TRICARE SC |
| South Carolina | Other | P00202158 | TRICARE SC |
| South Carolina | Other | P00802342 | TRICARE SC |
| South Carolina | Other | AA8570A913 | TRICARE SC |
| South Carolina | Other | 571020809012 | TRICARE SC |
| South Carolina | MEDICAID | 253442 | TRICARE SC |
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