Denittis, Felicia Anne E
Denittis, Felicia Anne E is an individual health care provider with primary practice located at 920 Doug White Dr Ste 460 , Myrtle Beach SC 29572-4182. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Denittis, Felicia Anne E can be contacted via phone (843) 449-2336.Contact Information
Primary practice address
920 Doug White Dr Ste 460
Myrtle Beach SC 29572-4182
Phone: (843) 449-2336
Fax: (843) 692-2174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 925 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 925 | South Carolina |
Profile Details
| NPI number | 1487638227 |
|---|---|
| LBN Legal business name | Denittis, Felicia Anne E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | May 31st, 2023 - about 3 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 | 1487638227 | NPPES |
| South Carolina | MEDICAID | 0224PA |
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