Duck, Mamie
Duck, Mamie is an sole proprietor health care provider with primary practice located at 207A N Washington St , Sumter SC 29150-4204. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Agencies / Nursing Care. Agencies / Nursing Care is her primary health care specialty. Duck, Mamie can be contacted via phone (803) 938-5898.Contact Information
Primary practice address
207A N Washington St
Sumter SC 29150-4204
Phone: (803) 938-5898
Fax: (803) 938-5443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Vocational Nurse | 164X00000X | 004399 | South Carolina |
Agencies / Nursing Care | 251J00000X |
Profile Details
NPI number | 1104474238 |
---|---|
LBN Legal business name | Duck, Mamie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 2nd, 2019 |
Last updated | Oct 13th, 2022 - about 2 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 | 1104474238 | NPPES |
Other | 044139 | NURSE LICENSED | |
MEDICAID | 3014415 | NURSE LICENSED | |
Other | 3014415 | NURSE LICENSED |
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