Prioleau, Mary J

Prioleau, Mary J is an sole proprietor health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Prioleau, Mary J can be contacted via phone (843) 789-7580.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1740621242
LBN Legal business name Prioleau, Mary J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2013
Last updated Jul 12th, 2013 - about 12 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 1740621242 NPPES
South Carolina MEDICAID # 227900000X

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