Um, Chansina

Um, Chansina is an sole proprietor health care provider with primary practice located at 3 Richland Medical Park Dr Suite 110, Columbia SC 29203-6849. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Um, Chansina can be contacted via phone (803) 807-9388.

Contact Information

Primary practice address
3 Richland Medical Park Dr Suite 110 Columbia SC 29203-6849
Phone: (803) 807-9388
Fax: (803) 807-9391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC571 South Carolina

Profile Details

NPI number 1689603466
LBN Legal business name Um, Chansina
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2006
Last updated Feb 15th, 2019 - about 6 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 1689603466 NPPES
South Carolina MEDICAID DE3898
South Carolina MEDICAID P05710

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