Anderson, Jeffrey Stephen

Anderson, Jeffrey Stephen is an individual health care provider with primary practice located at 215 S Brooks St , Manning SC 29102-3113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Jeffrey Stephen can be contacted via phone (800) 926-3772.

Contact Information

Primary practice address
215 S Brooks St Manning SC 29102-3113
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 16888 South Carolina

Profile Details

NPI number 1730125303
LBN Legal business name Anderson, Jeffrey Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1730125303 NPPES
South Carolina MEDICAID 168883

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