Wiesendanger, Erin Thompson
Wiesendanger, Erin Thompson is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 400 , West Columbia SC 29169-4800. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wiesendanger, Erin Thompson can be contacted via phone (803) 936-3300.Contact Information
Primary practice address
146 E Hospital Dr Ste 400
West Columbia SC 29169-4800
Phone: (803) 936-3300
Fax: (803) 936-7735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10604 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C006472 | North Carolina |
Profile Details
| NPI number | 1083847248 |
|---|---|
| LBN Legal business name | Wiesendanger, Erin Thompson |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2009 |
| Last updated | Nov 11th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083847248 | NPPES |
| North Carolina | MEDICAID | 1083847248 | |
| North Carolina | MEDICAID | 6007446 | |
| North Carolina | MEDICAID | SW1210 |
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