Rae, Patricia N

Rae, Patricia N is an individual health care provider with primary practice located at 853 N Church St Suite 720C, Spartanburg SC 29303-3098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rae, Patricia N can be contacted via phone (864) 560-6419.

Contact Information

Primary practice address
853 N Church St Suite 720C Spartanburg SC 29303-3098
Phone: (864) 560-6419
Fax: (864) 560-7498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004742 New York

Profile Details

NPI number 1376562801
LBN Legal business name Rae, Patricia N
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 19th, 2008 - about 16 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 1376562801 NPPES
South Carolina MEDICAID 0622PA

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