Stanaway, Melvin

Stanaway, Melvin 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. Stanaway, Melvin 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 1043 South Carolina

Profile Details

NPI number 1194780437
LBN Legal business name Stanaway, Melvin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 28th, 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 1194780437 NPPES
South Carolina Other 576008010015 TRICARE
South Carolina MEDICAID AN0006 TRICARE
South Carolina Other 000000166668 TRICARE
South Carolina Other 20018620 TRICARE
South Carolina Other 576008010006 TRICARE
South Carolina Other 576008010009 TRICARE

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