Enoch, Towanna Shanett-Lance
Enoch, Towanna Shanett-Lance is an individual health care provider with primary practice located at 1228 Harden St Ste C , Columbia SC 29204-1800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Enoch, Towanna Shanett-Lance can be contacted via phone (803) 748-1184.Contact Information
Primary practice address
1228 Harden St Ste C
Columbia SC 29204-1800
Phone: (803) 748-1184
Fax: (803) 748-1185
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 17617 | South Carolina |
Profile Details
NPI number | 1982709069 |
---|---|
LBN Legal business name | Enoch, Towanna Shanett-Lance |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2006 |
Last updated | Jun 23rd, 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 | 1982709069 | NPPES |
South Carolina | MEDICAID | NP2494 |
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