Cassell, Tonja A

Cassell, Tonja A is an individual health care provider with primary practice located at 1661 E Main St , Easley SC 29640-3791. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Cassell, Tonja A can be contacted via phone (864) 859-4709.

Contact Information

Primary practice address
1661 E Main St Easley SC 29640-3791
Fax: (864) 855-9331
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C36260 South Carolina

Profile Details

NPI number 1104140524
LBN Legal business name Cassell, Tonja A
Credentials CFM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2010
Last updated Mar 15th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104140524 NPPES
South Carolina Other C36260 BOC

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