Canivan, Christine
Canivan, Christine is an individual health care provider with primary practice located at 5000 Epson Plantation Dr Ste B , Moncks Corner SC 29461-3979. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Canivan, Christine can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
5000 Epson Plantation Dr Ste B
Moncks Corner SC 29461-3979
Phone: (843) 792-1414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20586 | South Carolina |
Profile Details
| NPI number | 1427067818 |
|---|---|
| LBN Legal business name | Canivan, Christine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Jan 20th, 2023 - about 3 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 | 1427067818 | NPPES |
| South Carolina | MEDICAID | 205860 |
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