Channa, Supinder

Channa, Supinder is an individual health care provider with primary practice located at 151 Harold Fleming Ct , Spartanburg SC 29303-4225. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Channa, Supinder can be contacted via phone (864) 573-6320.

Contact Information

Primary practice address
151 Harold Fleming Ct Spartanburg SC 29303-4225
Phone: (864) 573-6320
Fax: (864) 208-0352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 20433 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20433 South Carolina

Profile Details

NPI number 1427509611
LBN Legal business name Channa, Supinder
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2016
Last updated Apr 19th, 2021 - about 3 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 1427509611 NPPES
South Carolina MEDICAID GP3212

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