Dannelly, Mary E
Dannelly, Mary E is an individual health care provider with primary practice located at 1316 N Lake Dr , Lexington SC 29072-7653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dannelly, Mary E can be contacted via phone (803) 358-1191.Contact Information
Primary practice address
1316 N Lake Dr
Lexington SC 29072-7653
Phone: (803) 358-1191
Fax: (803) 358-1180
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN 380 | South Carolina |
Profile Details
NPI number | 1124082805 |
---|---|
LBN Legal business name | Dannelly, Mary E |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 12th, 2006 |
Last updated | Mar 16th, 2018 - about 6 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 | 1124082805 | NPPES |
South Carolina | MEDICAID | NP1849 |
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