Cruz, Annette Iskra

Cruz, Annette Iskra is an individual health care provider with primary practice located at 125 Doughty St Ste 280 , Charleston SC 29403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cruz, Annette Iskra can be contacted via phone (843) 958-1281.

Contact Information

Primary practice address
125 Doughty St Ste 280 Charleston SC 29403
Fax: (843) 958-1278
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2614 South Carolina

Profile Details

NPI number 1235326976
LBN Legal business name Cruz, Annette Iskra
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated May 25th, 2021 - 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 1235326976 NPPES
South Carolina MEDICAID 2754PA

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