Fanning, Suzanne Reim

Fanning, Suzanne Reim is an individual health care provider with primary practice located at 65 International Dr , Greenville SC 29615-4816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Fanning, Suzanne Reim can be contacted via phone (864) 987-7000.

Contact Information

Primary practice address
65 International Dr Greenville SC 29615-4816
Fax: (864) 987-7020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 1057 South Carolina

Profile Details

NPI number 1568664480
LBN Legal business name Fanning, Suzanne Reim
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Aug 2nd, 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 1568664480 NPPES
South Carolina MEDICAID 010571

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