Cruse, Michael

Cruse, Michael is an individual health care provider with primary practice located at 920 Doug White Dr Ste 210 , Myrtle Beach SC 29572-4181. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Cruse, Michael can be contacted via phone (843) 497-6348.

Contact Information

Primary practice address
920 Doug White Dr Ste 210 Myrtle Beach SC 29572-4181
Phone: (843) 497-6348
Fax: (843) 497-6351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN75848-AGPCNP-BC West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 19759 South Carolina

Profile Details

NPI number 1477943744
LBN Legal business name Cruse, Michael
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2015
Last updated Feb 9th, 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 1477943744 NPPES
South Carolina MEDICAID NP3740

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