Baldassarri, Heather Marie

Baldassarri, Heather Marie is an individual health care provider with primary practice located at 2361 Cypress Cir , Conway SC 29526-8921. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Baldassarri, Heather Marie can be contacted via phone (843) 347-7291.

Contact Information

Primary practice address
2361 Cypress Cir Conway SC 29526-8921
Phone: (843) 347-7291
Fax: (843) 347-0139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4240 South Carolina

Profile Details

NPI number 1366996241
LBN Legal business name Baldassarri, Heather Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2016
Last updated Aug 22nd, 2025 - about last year

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 1366996241 NPPES
South Carolina MEDICAID 5852PA

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