Bollin, Emily 'Bambi' Childress

Bollin, Emily 'Bambi' Childress is an individual health care provider with primary practice located at 3 Malphrus Rd Ste 101 , Bluffton SC 29910. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bollin, Emily 'Bambi' Childress can be contacted via phone (843) 837-9222.

Contact Information

Primary practice address
3 Malphrus Rd Ste 101 Bluffton SC 29910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1462 South Carolina

Profile Details

NPI number 1518066208
LBN Legal business name Bollin, Emily 'Bambi' Childress
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 18th, 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 1518066208 NPPES
South Carolina Other AA1910E499 MEDICARE
South Carolina Other P01512740 MEDICARE
South Carolina MEDICAID D14624 MEDICARE

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