Charles J. Nivens, Md Pa

LBN: Charles J. Nivens, Md Pa
Charles J. Nivens, Md Pa is an health care organization with primary practice located at 3 Plantation Park Dr. , Bluffton SC 29910-4720. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Charles J. Nivens, Md Pa can be contacted via phone (843) 705-7471, or through Nivens, Ingrid Kristine via phone (843) 705-7471.

Contact Information

Primary practice address
3 Plantation Park Dr. Bluffton SC 29910-4720
Phone: (843) 705-7471
Fax: (843) 705-7475
Website:
Map and Directions
Authorized official contact:
Name: Nivens, Ingrid Kristine
Phone: (843) 705-7471

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18439 South Carolina

Profile Details

NPI number 1053489443
LBN Legal business name Charles J. Nivens, Md Pa
DBA Doing business as
Authorized official Nivens, Ingrid Kristine
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Dec 31st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053489443 NPPES
South Carolina MEDICAID 184393

Popular Providers