Eberhard, Sean Donald
Eberhard, Sean Donald is an individual health care provider with primary practice located at 2079 Charlie Hall Blvd , Charleston SC 29414-5834. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Eberhard, Sean Donald can be contacted via phone (843) 974-5622.Contact Information
Primary practice address
2079 Charlie Hall Blvd
Charleston SC 29414-5834
Phone: (843) 974-5622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 244943 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 27151 | South Carolina |
Profile Details
| NPI number | 1063121044 |
|---|---|
| LBN Legal business name | Eberhard, Sean Donald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2022 |
| Last updated | May 25th, 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 | 1063121044 | NPPES |
| Other | 244943 | RN |
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