Longino, Olin Iman
Longino, Olin Iman is an individual health care provider with primary practice located at 3510 Highway 17 Byp N Ste 215 , Mt Pleasant SC 29466-8229. 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) 402-1766.Contact Information
Primary practice address
3510 Highway 17 Byp N Ste 215
Mt Pleasant SC 29466-8229
Phone: (843) 402-1766
Fax: (843) 402-1768
Website:
Health care specialties
| Specialty | Code | License # | 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 | May 1st, 2025 - about last year |
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 | 1396216198 | NPPES |
| South Carolina | MEDICAID | 3136PA |
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