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
Fax: (864) 560-5296
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598132961 NPPES
South Carolina Other SCF5735019 MEDICARE PIN
South Carolina MEDICAID 3204PA MEDICARE PIN

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