Longino, Olin Iman

Longino, Olin Iman is an individual health care provider with primary practice located at 2575 Elms Center Rd , N Charleston SC 29406-9875. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Longino, Olin Iman can be contacted via phone (843) 724-1950.

Contact Information

Primary practice address
2575 Elms Center Rd N Charleston SC 29406-9875
Phone: (843) 724-1950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3139 South Carolina

Profile Details

NPI number 1396216198
LBN Legal business name Longino, Olin Iman
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2018
Last updated Feb 27th, 2024 - about 2 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 1396216198 NPPES
South Carolina MEDICAID 3136PA

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