Pagan, Noemi R

Pagan, Noemi R is an individual health care provider with primary practice located at 16 Windermere Blvd , Charleston SC 29407-7412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pagan, Noemi R can be contacted via phone (843) 766-9053.

Contact Information

Primary practice address
16 Windermere Blvd Charleston SC 29407-7412
Phone: (843) 766-9053
Fax: (843) 766-8853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101238238 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28816 South Carolina

Profile Details

NPI number 1922074475
LBN Legal business name Pagan, Noemi R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jan 25th, 2021 - 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 1922074475 NPPES
South Carolina MEDICAID 288165
South Carolina Other P00727223

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