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
Phone: (843) 766-6494
Fax: (843) 766-6495
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891743514 | NPPES |
South Carolina | MEDICAID | TH1008 |
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