Lane, Tadd

Lane, Tadd is an individual health care provider with primary practice located at 111 Doctor Cir , Columbia SC 29203-6502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lane, Tadd can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
111 Doctor Cir Columbia SC 29203-6502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22660 South Carolina

Profile Details

NPI number 1881252328
LBN Legal business name Lane, Tadd
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2019
Last updated Nov 3rd, 2022 - about 3 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 1881252328 NPPES
South Carolina MEDICAID NP6106

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