Petoskey, Martha Deschamps
Petoskey, Martha Deschamps is an sole proprietor health care provider with primary practice located at 261 Greengate Ln , Spartanburg SC 29307-2211. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Petoskey, Martha Deschamps can be contacted via phone (864) 494-0928.Contact Information
Primary practice address
261 Greengate Ln
Spartanburg SC 29307-2211
Phone: (864) 494-0928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 881 | South Carolina |
Profile Details
| NPI number | 1265489025 |
|---|---|
| LBN Legal business name | Petoskey, Martha Deschamps |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2006 |
| Last updated | May 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265489025 | NPPES |
| South Carolina | MEDICAID | WP8965 |
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