Cagle, Rita Richardson
Cagle, Rita Richardson is an individual health care provider with primary practice located at 1204 E Cheves St , Florence SC 29506-2710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cagle, Rita Richardson can be contacted via phone (843) 673-0122.Contact Information
Primary practice address
1204 E Cheves St
Florence SC 29506-2710
Phone: (843) 673-0122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 21362 | South Carolina |
Profile Details
| NPI number | 1699285411 |
|---|---|
| LBN Legal business name | Cagle, Rita Richardson |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2017 |
| Last updated | Sep 28th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699285411 | NPPES |
| South Carolina | Other | 21362 | SC MEDICAL LICENSE |
| South Carolina | MEDICAID | NP8718 | SC MEDICAL LICENSE |
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