Endress, Channing

Endress, Channing is an individual health care provider with primary practice located at 406 Memorial Drive Ext , Greer SC 29651-1818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Endress, Channing can be contacted via phone (864) 877-9066.

Contact Information

Primary practice address
406 Memorial Drive Ext Greer SC 29651-1818
Phone: (864) 877-9066
Fax: (864) 241-9224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19316 South Carolina

Profile Details

NPI number 1922493006
LBN Legal business name Endress, Channing
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2015
Last updated May 25th, 2021 - about 5 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 1922493006 NPPES
South Carolina MEDICAID NP3637

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