Smalls, Isiah
Smalls, Isiah is an individual health care provider with primary practice located at 1905 Duke St 270, Beaufort SC 29902-4403. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Smalls, Isiah can be contacted via phone (843) 255-6000.Contact Information
Primary practice address
1905 Duke St 270
Beaufort SC 29902-4403
Phone: (843) 255-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1518357557 |
|---|---|
| LBN Legal business name | Smalls, Isiah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2015 |
| Last updated | Jan 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518357557 | NPPES |
| South Carolina | MEDICAID | AD21BE |
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