Minnick, Katherine A

Minnick, Katherine A is an individual health care provider with primary practice located at 1481 Tobias Gadson Blvd Ste 1 , Charleston SC 29407-4879. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Minnick, Katherine A can be contacted via phone (843) 402-3093.

Contact Information

Primary practice address
1481 Tobias Gadson Blvd Ste 1 Charleston SC 29407-4879
Phone: (843) 402-3093
Fax: (843) 402-3094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 19855 South Carolina

Profile Details

NPI number 1649276502
LBN Legal business name Minnick, Katherine A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jan 13th, 2020 - about 4 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 1649276502 NPPES
South Carolina MEDICAID T38938

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