Cleveland, Minnie Maxine
Cleveland, Minnie Maxine is an sole proprietor health care provider with primary practice located at 9 Richland Medical Park - Suite 305 Palmetto Health Richland - Diabetes Education, Columbia SC 29203-6863. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Cleveland, Minnie Maxine can be contacted via phone (803) 434-7027.Contact Information
Primary practice address
9 Richland Medical Park - Suite 305 Palmetto Health Richland - Diabetes Education
Columbia SC 29203-6863
Phone: (803) 434-7027
Fax: (803) 434-1239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | R41003 | South Carolina |
Profile Details
| NPI number | 1104950088 |
|---|---|
| LBN Legal business name | Cleveland, Minnie Maxine |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104950088 | NPPES |
| South Carolina | MEDICAID | DPE012 |
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