Vanderlugt, Madison

Vanderlugt, Madison is an individual health care provider with primary practice located at 14 N Church St , Manning SC 29102-3502. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Vanderlugt, Madison can be contacted via phone (803) 435-2121.

Contact Information

Primary practice address
14 N Church St Manning SC 29102-3502
Phone: (803) 435-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 8803 South Carolina

Profile Details

NPI number 1043994577
LBN Legal business name Vanderlugt, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2023
Last updated Mar 26th, 2024 - about 8 months 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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