Creebsburg, Ronande Berryl
Creebsburg, Ronande Berryl is an individual health care provider with primary practice located at 1510 Blue Ridge Blvd Ste 105 , Seneca SC 29672-6684. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Creebsburg, Ronande Berryl can be contacted via phone (864) 722-5315.Contact Information
Primary practice address
1510 Blue Ridge Blvd Ste 105
Seneca SC 29672-6684
Phone: (864) 722-5315
Fax: (864) 568-3894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21130 | South Carolina |
Profile Details
| NPI number | 1225543242 |
|---|---|
| LBN Legal business name | Creebsburg, Ronande Berryl |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2017 |
| Last updated | Mar 17th, 2018 - about 8 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 | 1225543242 | NPPES |
| South Carolina | MEDICAID | GP7395 |
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