Mcelreath, Derek
Mcelreath, Derek is an sole proprietor health care provider with primary practice located at 22725 Highway 76 E , Clinton SC 29325-7527. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Mcelreath, Derek can be contacted via phone (864) 833-9100.Contact Information
Primary practice address
22725 Highway 76 E
Clinton SC 29325-7527
Phone: (864) 833-9100
Fax: (864) 833-9458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21799 | South Carolina |
Profile Details
| NPI number | 1780181826 |
|---|---|
| LBN Legal business name | Mcelreath, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2018 |
| Last updated | May 6th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780181826 | NPPES |
| South Carolina | MEDICAID | NP5608 |
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