Carmona, Selena G

Carmona, Selena G is an sole proprietor health care provider with primary practice located at 216 Hook Rd , Honea Path SC 29654-7819. She recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Point of Service, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Carmona, Selena G can be contacted via phone (864) 865-1008.

Contact Information

Primary practice address
216 Hook Rd Honea Path SC 29654-7819
Phone: (864) 865-1008
Fax: (800) 340-0223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1689220220
LBN Legal business name Carmona, Selena G
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2019
Last updated Aug 9th, 2019 - 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 1689220220 NPPES
South Carolina Other 103724712 DRIVERS LICENSE

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