Rainwater, Avie James

Rainwater, Avie James is an individual health care provider with primary practice located at 549 W Evans St , Florence SC 29501-3487. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rainwater, Avie James can be contacted via phone (843) 667-4949.

Contact Information

Primary practice address
549 W Evans St Florence SC 29501-3487
Fax: (843) 667-3349
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 489 South Carolina

Profile Details

NPI number 1700869146
LBN Legal business name Rainwater, Avie James
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jun 5th, 2015 - about 10 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 1700869146 NPPES
South Carolina Other 285004 MHN
South Carolina Other PVPB174618 MHN
South Carolina Other P00199753 MHN
South Carolina Other 248101096 MHN
South Carolina MEDICAID PS0002 MHN

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