Hancock, Amy Rose
Hancock, Amy Rose is an individual health care provider with primary practice located at 4900 Oleander Dr Suite # 1, Myrtle Beach SC 29577-5897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hancock, Amy Rose can be contacted via phone (864) 343-2609.Contact Information
Primary practice address
4900 Oleander Dr Suite # 1
Myrtle Beach SC 29577-5897
Phone: (864) 343-2609
Fax: (864) 546-4506
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | OA002612 | Pennsylvania |
Profile Details
NPI number | 1346350089 |
---|---|
LBN Legal business name | Hancock, Amy Rose |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Jun 2nd, 2016 - about 9 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 | 1346350089 | NPPES |
South Carolina | Other | 2433 | SOUTH CAROLINA MEDICAL LICENSE |
South Carolina | Other | PN084501L | SOUTH CAROLINA MEDICAL LICENSE |
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