Pelletier, Betty D
Pelletier, Betty D is an individual health care provider with primary practice located at 1612 Chapin Rd , Chapin SC 29036-9304. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Pelletier, Betty D can be contacted via phone (803) 345-3414.Contact Information
Primary practice address
1612 Chapin Rd
Chapin SC 29036-9304
Phone: (803) 345-3414
Fax: (803) 345-1672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN 605 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 655 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 655 | South Carolina |
Profile Details
| NPI number | 1548392442 |
|---|---|
| LBN Legal business name | Pelletier, Betty D |
| Credentials | ANP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | May 26th, 2021 - about 5 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 | 1548392442 | NPPES |
| South Carolina | MEDICAID | NP0036 |
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