Odell, Robert F

Odell, Robert F is an individual health care provider with primary practice located at 180 Wingo Way Suite 306, Mt Pleasant SC 29464-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Odell, Robert F can be contacted via phone (843) 884-1777.

Contact Information

Primary practice address
180 Wingo Way Suite 306 Mt Pleasant SC 29464-1810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X SC6115 South Carolina

Profile Details

NPI number 1922050202
LBN Legal business name Odell, Robert F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 11th, 2007 - about 18 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 1922050202 NPPES
South Carolina Other 571020809058 TRICARE
South Carolina MEDICAID 061159 TRICARE
South Carolina Other 571020809012 TRICARE

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