Brinton, Tavish
Brinton, Tavish is an sole proprietor health care provider with primary practice located at 1644 Charles Town Rd , Leesville SC 29070-9670. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Brinton, Tavish can be contacted via phone (803) 894-3829.Contact Information
Primary practice address
1644 Charles Town Rd
Leesville SC 29070-9670
Phone: (803) 894-3829
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | SCDHEC MW003 | South Carolina |
Profile Details
| NPI number | 1114130663 |
|---|---|
| LBN Legal business name | Brinton, Tavish |
| Credentials | LM, CPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Sep 8th, 2009 - about 16 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 | 1114130663 | NPPES |
| South Carolina | MEDICAID | LM0004 |
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