Halverson, Samuel Holbrook

Halverson, Samuel Holbrook is an individual health care provider with primary practice located at 204 W Hill Blvd , Charleston Afb SC 29404-4704. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Halverson, Samuel Holbrook can be contacted via phone (951) 313-7307.

Contact Information

Primary practice address
204 W Hill Blvd Charleston Afb SC 29404-4704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2925 South Carolina

Profile Details

NPI number 1639257025
LBN Legal business name Halverson, Samuel Holbrook
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Apr 27th, 2018 - about 7 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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