Tickle, Annette D

Tickle, Annette D is an individual health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Tickle, Annette D can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 40982 South Carolina

Profile Details

NPI number 1548450950
LBN Legal business name Tickle, Annette D
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Aug 1st, 2007 - about 19 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 1548450950 NPPES
South Carolina MEDICAID 190166

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