Trident Palmetto Hematology Oncology
LBN: Charleston Cancer Center Pa
Trident Palmetto Hematology Oncology is an health care organization with primary practice located at 2910 Tricom St , North Charleston SC 29406-9350. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty.
Charleston Cancer Center Pa can be contacted via phone (843) 572-9211, or through Michaelsen, Douglas L. via phone (843) 572-9211.
Contact Information
Primary practice address
2910 Tricom St
North Charleston SC 29406-9350
Phone: (843) 572-9211
Fax: (843) 572-0457
Website:
Authorized official contact:
Name: Michaelsen, Douglas L. Doctor of Medicine (MD)
Phone: (843) 572-9211
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 11628 | South Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 18607 | South Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 19684 | South Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 32155 | South Carolina |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 30018 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2273 | South Carolina |
Profile Details
| NPI number | 1043220627 |
|---|---|
| LBN Legal business name | Charleston Cancer Center Pa |
| DBA Doing business as | Trident Palmetto Hematology Oncology |
| Authorized official | Michaelsen, Douglas L. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Feb 15th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043220627 | NPPES |
| Other | C612826292 | MEDICARE GROUP NUMBER |
Popular Providers
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