Carpenter, John Michael
Carpenter, John Michael is an individual health care provider with primary practice located at 200 Fleetwood Drive , Easley SC 29640. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Carpenter, John Michael can be contacted via phone (864) 442-7200.Contact Information
Primary practice address
200 Fleetwood Drive
Easley SC 29640
Phone: (864) 442-7200
Fax: (864) 442-7821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN2759 | South Carolina |
Profile Details
| NPI number | 1497717771 |
|---|---|
| LBN Legal business name | Carpenter, John Michael |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jan 6th, 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 | 1497717771 | NPPES |
| South Carolina | MEDICAID | AN1446 |
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