Clay, Christina Mareno
Clay, Christina Mareno is an individual health care provider with primary practice located at 151 Peachwood Centre Dr , Spartanburg SC 29301-2575. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clay, Christina Mareno can be contacted via phone (864) 560-9627.Contact Information
Primary practice address
151 Peachwood Centre Dr
Spartanburg SC 29301-2575
Phone: (864) 560-9627
Fax: (864) 562-5470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | South Carolina |
Profile Details
| NPI number | 1184070450 |
|---|---|
| LBN Legal business name | Clay, Christina Mareno |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2016 |
| Last updated | Dec 11th, 2020 - about 6 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 | 1184070450 | NPPES |
| South Carolina | Other | SC86146067 | MEDICARE PIN |
| South Carolina | MEDICAID | 2677PA | MEDICARE PIN |
| South Carolina | Other | SC86147628 | MEDICARE PIN |
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