Gover, Sue Owen
Gover, Sue Owen is an sole proprietor health care provider with primary practice located at 300 Clinton Ave , Clover SC 29710-1627. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gover, Sue Owen can be contacted via phone (803) 810-8400.Contact Information
Primary practice address
300 Clinton Ave
Clover SC 29710-1627
Phone: (803) 810-8400
Fax: (803) 222-8043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 2925 | South Carolina |
Profile Details
| NPI number | 1427396282 |
|---|---|
| LBN Legal business name | Gover, Sue Owen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2013 |
| Last updated | Jan 29th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427396282 | NPPES |
| South Carolina | MEDICAID | 2925 |
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