Marian, Richard Ernest

Marian, Richard Ernest is an individual health care provider with primary practice located at 115 N Harvin St , Sumter SC 29150-4956. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Marian, Richard Ernest can be contacted via phone (803) 775-6815.

Contact Information

Primary practice address
115 N Harvin St Sumter SC 29150-4956
Phone: (803) 775-6815
Fax: (803) 773-6232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1891033585
LBN Legal business name Marian, Richard Ernest
Credentials CAC/NCAC-II./MAC/SAP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2013
Last updated Jan 31st, 2013 - about 11 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 1891033585 NPPES
South Carolina MEDICAID AD18SU

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