Allyn, Andrea L
Allyn, Andrea L is an individual health care provider with primary practice located at 10110 Clemson Blvd , Seneca SC 29678-0812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Allyn, Andrea L can be contacted via phone (864) 482-0500.Contact Information
Primary practice address
10110 Clemson Blvd
Seneca SC 29678-0812
Phone: (864) 482-0500
Fax: (864) 482-0505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 30703 | South Carolina |
Profile Details
| NPI number | 1851363733 |
|---|---|
| LBN Legal business name | Allyn, Andrea L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jul 23rd, 2014 - about 12 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 | 1851363733 | NPPES |
| South Carolina | Other | AA2717 | MEDICARE PTAN |
| South Carolina | MEDICAID | 000222285E | MEDICARE PTAN |
| South Carolina | MEDICAID | 1851363733 | MEDICARE PTAN |
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