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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922074475 | NPPES |
| South Carolina | MEDICAID | 288165 | |
| South Carolina | Other | P00727223 |
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