Chisholm, Roxie

Chisholm, Roxie is an individual health care provider with primary practice located at 115 Blarney Dr Ste 108 , Columbia SC 29223-6291. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chisholm, Roxie can be contacted via phone (803) 462-9200.

Contact Information

Primary practice address
115 Blarney Dr Ste 108 Columbia SC 29223-6291
Fax: (803) 699-1474
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19084 South Carolina

Profile Details

NPI number 1932502572
LBN Legal business name Chisholm, Roxie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2014
Last updated Mar 2nd, 2022 - 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 1932502572 NPPES
South Carolina MEDICAID NP5000

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