Licaj, Skerdilaid
Licaj, Skerdilaid is an individual health care provider with primary practice located at 1714 Highway 17 S , North Myrtle Beach SC 29582-4041. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Licaj, Skerdilaid can be contacted via phone (843) 545-7200.Contact Information
Primary practice address
1714 Highway 17 S
North Myrtle Beach SC 29582-4041
Phone: (843) 545-7200
Fax: (843) 545-5742
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1212 | South Carolina |
Profile Details
NPI number | 1023212842 |
---|---|
LBN Legal business name | Licaj, Skerdilaid |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2007 |
Last updated | Mar 31st, 2008 - about 17 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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