Holberton, Eric T

Holberton, Eric T is an individual health care provider with primary practice located at 2728 Sunset Blvd Ste 300 , West Columbia SC 29169-4815. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Holberton, Eric T can be contacted via phone (803) 744-4940.

Contact Information

Primary practice address
2728 Sunset Blvd Ste 300 West Columbia SC 29169-4815
Phone: (803) 744-4940
Fax: (803) 744-4938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2683 South Carolina

Profile Details

NPI number 1477098192
LBN Legal business name Holberton, Eric T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2017
Last updated Nov 6th, 2020 - about 6 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 1477098192 NPPES
South Carolina Other TL2683 SC MEDICAL LICENSE

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