John S. Ravita Md Pa

LBN: John S. Ravita Md Pa
John S. Ravita Md Pa is an health care organization with primary practice located at 2720 Sunset Blvd , West Columbia SC 29169-4810. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. John S. Ravita Md Pa can be contacted via phone (803) 791-2598, or through Ravita, John Salvatore via phone (803) 791-2598.

Contact Information

Primary practice address
2720 Sunset Blvd West Columbia SC 29169-4810
Phone: (803) 791-2598
Fax: (803) 791-2577
Website:
Map and Directions
Authorized official contact:
Name: Ravita, John Salvatore Doctor of Medicine (MD)
Phone: (803) 791-2598

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 8174 South Carolina

Profile Details

NPI number 1609997055
LBN Legal business name John S. Ravita Md Pa
DBA Doing business as
Authorized official Ravita, John Salvatore Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609997055 NPPES
South Carolina MEDICAID PA5958

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