Ketchin, Nicole Perrin

Ketchin, Nicole Perrin is an individual health care provider with primary practice located at 180 Wingo Way Suite 307, Mt Pleasant SC 29464-1810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ketchin, Nicole Perrin can be contacted via phone (843) 884-1777.

Contact Information

Primary practice address
180 Wingo Way Suite 307 Mt Pleasant SC 29464-1810
Phone: (843) 884-1777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1073 South Carolina

Profile Details

NPI number 1093741613
LBN Legal business name Ketchin, Nicole Perrin
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 20th, 2015 - about 10 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 1093741613 NPPES
South Carolina MEDICAID 0363PA

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