Wilson, Caitlin Elliott

Wilson, Caitlin Elliott is an individual health care provider with primary practice located at 150 D St , Greer SC 29651-6930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Caitlin Elliott can be contacted via phone (864) 879-1948.

Contact Information

Primary practice address
150 D St Greer SC 29651-6930
Phone: (864) 879-1948
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20574 South Carolina

Profile Details

NPI number 1376080556
LBN Legal business name Wilson, Caitlin Elliott
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2017
Last updated Oct 4th, 2019 - about 7 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 1376080556 NPPES
South Carolina Other SCA4286067 MEDICARE PIN
South Carolina MEDICAID NP6045 MEDICARE PIN

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