Mccaulley, Heidi Brooks

Mccaulley, Heidi Brooks is an individual health care provider with primary practice located at 458 Riverside St , Pendleton SC 29670-1211. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Mccaulley, Heidi Brooks can be contacted via phone (864) 403-2200.

Contact Information

Primary practice address
458 Riverside St Pendleton SC 29670-1211
Phone: (864) 403-2200
Fax: (864) 646-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 68523 South Carolina

Profile Details

NPI number 1558608455
LBN Legal business name Mccaulley, Heidi Brooks
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2013
Last updated Jan 11th, 2013 - about 13 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 1558608455 NPPES
South Carolina MEDICAID 1942275649

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