National Provider Identifier Database

CHILDRENS RESPIRATORY CENTER PA
Pediatric Pulmonology

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.


Contact Information

CHILDREN'S RESPIRATORY CENTER, PA
58 BEAR DR
GREENVILLE, SC29605-4458
Phone: 864-220-8000
Fax: 864-220-8009
Website:
Specialty Taxonomy Code
* Pediatric Pulmonology 2080P0214X

* Indicates primary specialty

NPI Profile & details for CHILDREN'S RESPIRATORY CENTER, PA

NPI Number 1699964569
Legal business name
LBN
CHILDREN'S RESPIRATORY CENTER, PA
Authorized official GUY FASCIANA - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 10/17/2007
Last updated 10/17/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 11118
  • SC Other: DME653 MEDICAID DME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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