Boards, Joann

Boards, Joann is an individual health care provider with primary practice located at 675 N Matthews Rd , Lake City SC 29560-7027. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Boards, Joann can be contacted via phone (843) 394-7419.

Contact Information

Primary practice address
675 N Matthews Rd Lake City SC 29560-7027
Phone: (843) 394-7419
Fax: (843) 661-4892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1255455796
LBN Legal business name Boards, Joann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1255455796 NPPES
South Carolina MEDICAID 376241

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