Koele, Daniel Scot

Koele, Daniel Scot is an individual health care provider with primary practice located at 2829 E Highway 76 , Mullins SC 29574-6035. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Koele, Daniel Scot can be contacted via phone (843) 431-2000.

Contact Information

Primary practice address
2829 E Highway 76 Mullins SC 29574-6035
Phone: (843) 431-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X A590 South Carolina

Profile Details

NPI number 1528028602
LBN Legal business name Koele, Daniel Scot
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 30th, 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 1528028602 NPPES
South Carolina MEDICAID 21820

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