Irvin, Robert G
Irvin, Robert G is an individual health care provider with primary practice located at 615 Wesley Dr Ste 320 , Charleston SC 29407-7274. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Irvin, Robert G can be contacted via phone (843) 571-2939.Contact Information
Primary practice address
615 Wesley Dr Ste 320
Charleston SC 29407-7274
Phone: (843) 571-2939
Fax: (843) 571-4686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7002 | South Carolina |
Profile Details
| NPI number | 1114022118 |
|---|---|
| LBN Legal business name | Irvin, Robert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1114022118 | NPPES |
| South Carolina | MEDICAID | GP0453 |
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