Tomlin, Lynnette Glasscho

Tomlin, Lynnette Glasscho is an individual health care provider with primary practice located at 2475 Broad St , Sumter SC 29150-1820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tomlin, Lynnette Glasscho can be contacted via phone (803) 778-6555.

Contact Information

Primary practice address
2475 Broad St Sumter SC 29150-1820
Phone: (803) 778-6555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1726 South Carolina

Profile Details

NPI number 1316214638
LBN Legal business name Tomlin, Lynnette Glasscho
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2011
Last updated Feb 16th, 2021 - about 4 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 1316214638 NPPES
South Carolina Other 7124 MEDICARE NUMBER
South Carolina MEDICAID 1304 MEDICARE NUMBER

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