Sturdivant, Rachel L.
Sturdivant, Rachel L. is an individual health care provider with primary practice located at 171 Ashley Avenue , Charleston SC 29425-0100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Sturdivant, Rachel L. can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
171 Ashley Avenue
Charleston SC 29425-0100
Phone: (843) 792-1414
Fax: (843) 723-7404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 22000 | South Carolina |
Profile Details
| NPI number | 1225037765 |
|---|---|
| LBN Legal business name | Sturdivant, Rachel L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | Oct 21st, 2020 - about 6 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 | 1225037765 | NPPES |
| South Carolina | MEDICAID | 220004 |
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