Merlin, Stephen Irwin

Merlin, Stephen Irwin is an individual health care provider with primary practice located at 1620 Lady St Ste B , Columbia SC 29201-3482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Merlin, Stephen Irwin can be contacted via phone (803) 451-7600.

Contact Information

Primary practice address
1620 Lady St Ste B Columbia SC 29201-3482
Phone: (803) 451-7600
Fax: (803) 451-7604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 213883 South Carolina

Profile Details

NPI number 1568437143
LBN Legal business name Merlin, Stephen Irwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 18th, 2011 - about 14 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 1568437143 NPPES
Other 582296052001 BCBS PALMETTO HEALTH
MEDICAID 400186 BCBS PALMETTO HEALTH

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