Guadalupe, David

Guadalupe, David is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Guadalupe, David can be contacted via phone (864) 455-3076.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-4210
Phone: (864) 455-3076
Fax: (864) 455-4135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 3514 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA83 Florida
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 80 South Carolina

Profile Details

NPI number 1467449488
LBN Legal business name Guadalupe, David
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 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 1467449488 NPPES
South Carolina MEDICAID PENDING
South Carolina MEDICAID 100000942F
South Carolina MEDICAID 100000942A
South Carolina MEDICAID 100000942E

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