Elgin, Amy Nicole

Elgin, Amy Nicole is an individual health care provider with primary practice located at 9565 Highway 78 Bldg 700 Ste. 102, Ladson SC 29456-4116. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Elgin, Amy Nicole can be contacted via phone (843) 314-5434.

Contact Information

Primary practice address
9565 Highway 78 Bldg 700 Ste. 102 Ladson SC 29456-4116
Fax: (843) 277-6237
Website:

Profile Details

NPI number 1508009937
LBN Legal business name Elgin, Amy Nicole
Credentials MSOL, OTR/L, BCP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Sep 9th, 2015 - 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 1508009937 NPPES
South Carolina MEDICAID TH2945

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