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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205822509 NPPES
South Carolina MEDICAID NP0497

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