Haire, Wenonah

Haire, Wenonah is an sole proprietor health care provider with primary practice located at 611 E Main St , Rock Hill SC 29730-5324. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Haire, Wenonah can be contacted via phone (803) 324-5214.

Contact Information

Primary practice address
611 E Main St Rock Hill SC 29730-5324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 002268 South Carolina

Profile Details

NPI number 1679618599
LBN Legal business name Haire, Wenonah
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 9th, 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 1679618599 NPPES
South Carolina MEDICAID 002268

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