Geurkink, Deanne N

Geurkink, Deanne N is an sole proprietor health care provider with primary practice located at 11134 Broad River Rd Suite D, Irmo SC 29063-7616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Geurkink, Deanne N can be contacted via phone (803) 732-0920.

Contact Information

Primary practice address
11134 Broad River Rd Suite D Irmo SC 29063-7616
Phone: (803) 732-0920
Fax: (803) 732-0920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 19500 South Carolina

Profile Details

NPI number 1407867351
LBN Legal business name Geurkink, Deanne N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jun 22nd, 2012 - about 13 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 1407867351 NPPES
South Carolina MEDICAID 195005
South Carolina MEDICAID GP5337

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