National Provider Identifier Database

ATLANTIC LITHOTRIPSY LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

ATLANTIC LITHOTRIPSY, LLC
611 BURROUGHS AND CHAPIN BLVD STE 105
MYRTLE BEACH, SC29577-3200
Phone: 843-347-2450
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for ATLANTIC LITHOTRIPSY, LLC

NPI Number 1356049746
Legal business name
LBN
ATLANTIC LITHOTRIPSY, LLC
Authorized official DEBBIE BOLIG - (DIRECTOR OF REVENUE CYCLE)
Entity Organization
Organization subpart No
Enumeration date 02/16/2023
Last updated 02/16/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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