Constable, Deanna L
Constable, Deanna L is an sole proprietor health care provider with primary practice located at 105 Office Park Rd , Columbia SC 29223-5959. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Constable, Deanna L can be contacted via phone (803) 699-5540.Contact Information
Primary practice address
105 Office Park Rd
Columbia SC 29223-5959
Phone: (803) 699-5540
Fax: (803) 699-5547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 14493 | South Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 14493 | South Carolina |
Profile Details
| NPI number | 1013993583 |
|---|---|
| LBN Legal business name | Constable, Deanna L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Oct 3rd, 2017 - about 8 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 | 1013993583 | NPPES |
| South Carolina | MEDICAID | 144935 |
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