Cleveland, Minnie Maxine

Cleveland, Minnie Maxine is an sole proprietor health care provider with primary practice located at 9 Richland Medical Park - Suite 305 Palmetto Health Richland - Diabetes Education, Columbia SC 29203-6863. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Cleveland, Minnie Maxine can be contacted via phone (803) 434-7027.

Contact Information

Primary practice address
9 Richland Medical Park - Suite 305 Palmetto Health Richland - Diabetes Education Columbia SC 29203-6863
Phone: (803) 434-7027
Fax: (803) 434-1239
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X R41003 South Carolina

Profile Details

NPI number 1104950088
LBN Legal business name Cleveland, Minnie Maxine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104950088 NPPES
South Carolina MEDICAID DPE012

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