O'Donnell, Leeann Louise

O'Donnell, Leeann Louise is an individual health care provider with primary practice located at 298 Memorial Dr , Seneca SC 29672-9443. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. O'Donnell, Leeann Louise can be contacted via phone (864) 482-3100.

Contact Information

Primary practice address
298 Memorial Dr Seneca SC 29672-9443
Phone: (864) 482-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 18322 South Carolina

Profile Details

NPI number 1114366523
LBN Legal business name O'Donnell, Leeann Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated Oct 13th, 2015 - about 10 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 1114366523 NPPES
South Carolina Other NPI # BLUE CROSS
South Carolina MEDICAID 003167080A BLUE CROSS
South Carolina MEDICAID AN2291 BLUE CROSS

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