Smith, Dane Edward

Smith, Dane Edward is an individual health care provider with primary practice located at 298 Memorial Dr , Seneca SC 29672-9443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Smith, Dane Edward can be contacted via phone (864) 482-3230.

Contact Information

Primary practice address
298 Memorial Dr Seneca SC 29672-9443
Fax: (864) 482-3222
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 12485 South Carolina

Profile Details

NPI number 1134173008
LBN Legal business name Smith, Dane Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jun 14th, 2023 - about 3 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 1134173008 NPPES
South Carolina Other 4417333 AETNA ID
South Carolina Other P00305815 AETNA ID
South Carolina MEDICAID 124859 AETNA ID
South Carolina Other 576007863142 AETNA ID
South Carolina Other 1407154 AETNA ID
South Carolina Other 576007863132 AETNA ID

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