Depaul, Edna Klatt
Depaul, Edna Klatt is an individual health care provider with primary practice located at 701 Leader Ln , Mt Pleasant SC 29464-8152. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Depaul, Edna Klatt can be contacted via phone (843) 345-2307.Contact Information
Primary practice address
701 Leader Ln
Mt Pleasant SC 29464-8152
Phone: (843) 345-2307
Fax: (843) 881-3161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2529 | South Carolina |
Profile Details
| NPI number | 1861498180 |
|---|---|
| LBN Legal business name | Depaul, Edna Klatt |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 8th, 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 | 1861498180 | NPPES |
| South Carolina | MEDICAID | 992529 | |
| South Carolina | Other | 2529 | |
| South Carolina | Other | 488297 |
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