Blank, Erika Susan

Blank, Erika Susan is an individual health care provider with primary practice located at 30 Bee Street , Charleston SC 29403-0800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Blank, Erika Susan can be contacted via phone (843) 792-6500.

Contact Information

Primary practice address
30 Bee Street Charleston SC 29403-0800
Phone: (843) 792-6500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15617 New Hampshire
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51966 South Carolina

Profile Details

NPI number 1659361756
LBN Legal business name Blank, Erika Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 17th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659361756 NPPES
New Hampshire MEDICAID 3076240

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