Fresh, Lane Eric

Fresh, Lane Eric is an individual health care provider with primary practice located at 101 E Wood St Emergency Department, Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fresh, Lane Eric can be contacted via phone (864) 560-6222.

Contact Information

Primary practice address
101 E Wood St Emergency Department Spartanburg SC 29303-3040
Phone: (864) 560-6222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 23886 South Carolina

Profile Details

NPI number 1417927542
LBN Legal business name Fresh, Lane Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 4th, 2021 - about 3 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 1417927542 NPPES
South Carolina Other 20051870 SELECT HEALTH
South Carolina Other P01055820 SELECT HEALTH
South Carolina Other 7244440 SELECT HEALTH
South Carolina MEDICAID 89066KP SELECT HEALTH
South Carolina MEDICAID T81257 SELECT HEALTH
South Carolina Other 189205 SELECT HEALTH

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