Deaton, Lydia F

Deaton, Lydia F is an sole proprietor health care provider with primary practice located at 355 Cedar Springs Rd , Spartanburg SC 29302-4628. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Deaton, Lydia F can be contacted via phone (864) 577-7500.

Contact Information

Primary practice address
355 Cedar Springs Rd Spartanburg SC 29302-4628
Fax: (864) 577-7621
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 45989 South Carolina

Profile Details

NPI number 1073853610
LBN Legal business name Deaton, Lydia F
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2013
Last updated Feb 19th, 2013 - about 12 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 1073853610 NPPES
South Carolina MEDICAID 45989

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