Blumenthaler, Alisa Nicole

Blumenthaler, Alisa Nicole is an individual health care provider with primary practice located at Department Of Surgery 30 Courtenay Drive Msc 295 , Charleston SC 29425-1810. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Blumenthaler, Alisa Nicole can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
Department Of Surgery 30 Courtenay Drive Msc 295 Charleston SC 29425-1810
Phone: (843) 792-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X A194546 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11019543A Indiana
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 95272 South Carolina

Profile Details

NPI number 1982124418
LBN Legal business name Blumenthaler, Alisa Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2017
Last updated Aug 11th, 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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