Hollis, Lynwood Breeden
Hollis, Lynwood Breeden is an individual health care provider with primary practice located at 35 International Dr , Greenville SC 29615-4816. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Hollis, Lynwood Breeden can be contacted via phone (864) 234-7654.Contact Information
Primary practice address
35 International Dr
Greenville SC 29615-4816
Phone: (864) 234-7654
Fax: (864) 675-1657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 16471 | South Carolina |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 16471 | South Carolina |
Profile Details
| NPI number | 1649237793 |
|---|---|
| LBN Legal business name | Hollis, Lynwood Breeden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Feb 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649237793 | NPPES |
| South Carolina | Other | 8157 | MEDICARE PTAN |
| South Carolina | MEDICAID | 164716 | MEDICARE PTAN |
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