Pommerenke, Alix
Pommerenke, Alix is an sole proprietor health care provider with primary practice located at 506 E Cheves St Ste 202 , Florence SC 29506-2616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Pommerenke, Alix can be contacted via phone (843) 777-7000.Contact Information
Primary practice address
506 E Cheves St Ste 202
Florence SC 29506-2616
Phone: (843) 777-7000
Fax: (843) 777-7005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD84012 | South Carolina |
Profile Details
| NPI number | 1720442718 |
|---|---|
| LBN Legal business name | Pommerenke, Alix |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2016 |
| Last updated | Apr 13th, 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 | 1720442718 | NPPES |
| South Carolina | MEDICAID | 840120 |
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