De Herder, Elizabeth Fields

De Herder, Elizabeth Fields is an individual health care provider with primary practice located at 1483 Tobias Gadson Blvd Suite 205B, Charleston SC 29407-4641. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. De Herder, Elizabeth Fields can be contacted via phone (843) 766-6494.

Contact Information

Primary practice address
1483 Tobias Gadson Blvd Suite 205B Charleston SC 29407-4641
Fax: (843) 766-6495
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 000205 South Carolina

Profile Details

NPI number 1891743514
LBN Legal business name De Herder, Elizabeth Fields
Credentials OTR L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 14th, 2013 - about 11 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 1891743514 NPPES
South Carolina MEDICAID TH1008

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