Hanover, Tod Martin
Hanover, Tod Martin is an individual health care provider with primary practice located at 200 Patewood Dr Suite C300, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Hanover, Tod Martin can be contacted via phone (864) 454-8272.Contact Information
Primary practice address
200 Patewood Dr Suite C300
Greenville SC 29615-3593
Phone: (864) 454-8272
Fax: (864) 454-2875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 14730 | South Carolina |
Profile Details
| NPI number | 1386757128 |
|---|---|
| LBN Legal business name | Hanover, Tod Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 1st, 2018 - about 6 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 | 1386757128 | NPPES |
| South Carolina | MEDICAID | N00826 | |
| South Carolina | Other | P00441281 | |
| South Carolina | Other | 576007863200 | |
| South Carolina | Other | P00817221 |
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