Odonnell, Patricia L

Odonnell, Patricia L is an sole proprietor health care provider with primary practice located at 124 Mallard St , Greenville SC 29601-4046. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Odonnell, Patricia L can be contacted via phone (864) 241-1040.

Contact Information

Primary practice address
124 Mallard St Greenville SC 29601-4046
Fax: (864) 241-1049
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X TL108905 South Carolina

Profile Details

NPI number 1043496201
LBN Legal business name Odonnell, Patricia L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2008
Last updated Jan 17th, 2008 - about 17 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 1043496201 NPPES
South Carolina Other 3333 MEDICARE PROVIDER NUMBER
South Carolina MEDICAID 301100 MEDICARE PROVIDER NUMBER

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