Pitcavage, Joseph M

Pitcavage, Joseph M is an individual health care provider with primary practice located at 730 Coleman Blvd , Mt Pleasant SC 29464-4053. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pitcavage, Joseph M can be contacted via phone (843) 870-4073.

Contact Information

Primary practice address
730 Coleman Blvd Mt Pleasant SC 29464-4053
Fax: (843) 471-2022
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1374 South Carolina

Profile Details

NPI number 1336167279
LBN Legal business name Pitcavage, Joseph M
Credentials DOCTOR OF OPTOMETRY
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 29th, 2017 - about 7 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 1336167279 NPPES
South Carolina MEDICAID D13741

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