Vidal-Cardozo, Lydia Ivette
Vidal-Cardozo, Lydia Ivette is an individual health care provider with primary practice located at 108 Finnegan Ct , Myrtle Beach SC 29579-4205. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Vidal-Cardozo, Lydia Ivette can be contacted via phone (843) 909-9993.Contact Information
Primary practice address
108 Finnegan Ct
Myrtle Beach SC 29579-4205
Phone: (843) 909-9993
Fax: (843) 903-3366
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C0000746 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA1294 | South Carolina |
Profile Details
NPI number | 1174533863 |
---|---|
LBN Legal business name | Vidal-Cardozo, Lydia Ivette |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 8th, 2006 |
Last updated | Jan 15th, 2014 - about 11 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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