Haiyede-Shittu, Tayo E

Haiyede-Shittu, Tayo E is an individual health care provider with primary practice located at 5500 Front St Ste 240 , Summerville SC 29486-8140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Haiyede-Shittu, Tayo E can be contacted via phone (843) 572-7727.

Contact Information

Primary practice address
5500 Front St Ste 240 Summerville SC 29486-8140
Phone: (843) 572-7727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011082 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1765 South Carolina

Profile Details

NPI number 1962586354
LBN Legal business name Haiyede-Shittu, Tayo E
Credentials DMSC, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Apr 29th, 2024 - about last year

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 1962586354 NPPES
South Carolina MEDICAID 1408PA

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