Quintero, Carmen

Quintero, Carmen is an individual health care provider with primary practice located at 200 Patewood Dr Ste A300, Greenville SC 29615-3593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Quintero, Carmen can be contacted via phone (864) 454-5530.

Contact Information

Primary practice address
200 Patewood Dr Ste A300 Greenville SC 29615-3593
Phone: (864) 454-5530
Fax: (864) 241-9246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 656 South Carolina

Profile Details

NPI number 1508814997
LBN Legal business name Quintero, Carmen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Aug 2nd, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508814997 NPPES
South Carolina MEDICAID NP0084

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