Head, Patricia Michele
Head, Patricia Michele is an individual health care provider with primary practice located at 1750 Laurel St , Columbia SC 29201-2625. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Head, Patricia Michele can be contacted via phone (803) 779-3378.Contact Information
Primary practice address
1750 Laurel St
Columbia SC 29201-2625
Phone: (803) 779-3378
Fax: (803) 779-3103
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 519 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 519 | South Carolina |
Profile Details
NPI number | 1205822509 |
---|---|
LBN Legal business name | Head, Patricia Michele |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2005 |
Last updated | Nov 6th, 2020 - about 5 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 | 1205822509 | NPPES |
South Carolina | MEDICAID | NP0497 |
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