Redmond, Michael David

Redmond, Michael David is an individual health care provider with primary practice located at 223 Stoneridge Dr , Columbia SC 29210-8049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Redmond, Michael David can be contacted via phone (803) 296-2414.

Contact Information

Primary practice address
223 Stoneridge Dr Columbia SC 29210-8049
Phone: (803) 296-2414
Fax: (803) 296-2400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 14236 South Carolina

Profile Details

NPI number 1992707871
LBN Legal business name Redmond, Michael David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Sep 28th, 2010 - about 15 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 1992707871 NPPES
South Carolina Other 564 BCBS SUFFIX GROUP
South Carolina MEDICAID 142367 BCBS SUFFIX GROUP

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