Eisom, Sherry L

Eisom, Sherry L is an individual health care provider with primary practice located at 2319 St Matthews Road , Orangeburg SC 29118. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Eisom, Sherry L can be contacted via phone (803) 536-1571.

Contact Information

Primary practice address
2319 St Matthews Road Orangeburg SC 29118
Phone: (803) 536-1571
Fax: (803) 536-1463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 45057 South Carolina

Profile Details

NPI number 1295769065
LBN Legal business name Eisom, Sherry L
Credentials Master of Nursing (MN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 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 1295769065 NPPES
South Carolina MEDICAID 413093

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