Marcello, Patrick Ryan

Marcello, Patrick Ryan is an sole proprietor health care provider with primary practice located at 103A Regency Commons Dr , Greer SC 29650-5210. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marcello, Patrick Ryan can be contacted via phone (864) 801-8877.

Contact Information

Primary practice address
103A Regency Commons Dr Greer SC 29650-5210
Fax: (864) 801-8897
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3609 South Carolina

Profile Details

NPI number 1225185226
LBN Legal business name Marcello, Patrick Ryan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Dec 23rd, 2009 - about 17 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 1225185226 NPPES
South Carolina MEDICAID ZX3609

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