Mengelt, Beth Ann
Mengelt, Beth Ann is an individual health care provider with primary practice located at 1602 Central Ave , Summerville SC 29483-9312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mengelt, Beth Ann can be contacted via phone (928) 978-2207.Contact Information
Primary practice address
1602 Central Ave
Summerville SC 29483-9312
Phone: (928) 978-2207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21423 | South Carolina |
Profile Details
| NPI number | 1780197822 |
|---|---|
| LBN Legal business name | Mengelt, Beth Ann |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2017 |
| Last updated | Feb 16th, 2022 - 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 | 1780197822 | NPPES |
| South Carolina | MEDICAID | 1780197822 |
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