Buchanan, Blaine David
Buchanan, Blaine David is an individual health care provider with primary practice located at 225 E Wood St , Spartanburg SC 29303-3050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Buchanan, Blaine David can be contacted via phone (864) 560-4420.Contact Information
Primary practice address
225 E Wood St
Spartanburg SC 29303-3050
Phone: (864) 560-4420
Fax: (864) 560-5296
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | TL3234 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0010-05930 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 3234 | South Carolina |
Profile Details
NPI number | 1598132961 |
---|---|
LBN Legal business name | Buchanan, Blaine David |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 1st, 2015 |
Last updated | Dec 8th, 2020 - about 5 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 | 1598132961 | NPPES |
South Carolina | Other | SCF5735019 | MEDICARE PIN |
South Carolina | MEDICAID | 3204PA | MEDICARE PIN |
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