Riley, Patrick B.

Riley, Patrick B. is an individual health care provider with primary practice located at 3000 Saint Matthews Rd , Orangeburg SC 29118-1442. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Riley, Patrick B. can be contacted via phone (803) 454-2613.

Contact Information

Primary practice address
3000 Saint Matthews Rd Orangeburg SC 29118-1442
Phone: (803) 454-2613
Fax: (803) 765-1732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 106 South Carolina

Profile Details

NPI number 1215992342
LBN Legal business name Riley, Patrick B.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Nov 16th, 2009 - 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 1215992342 NPPES
South Carolina Other 576008010009 BCBA
South Carolina MEDICAID GAN081 BCBA
South Carolina Other 000000170640 BCBA
South Carolina Other 5760010015 BCBA
South Carolina Other 576008010006 BCBA
South Carolina Other 20056085 BCBA

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