Ansley, John Fitzgerald
Ansley, John Fitzgerald is an individual health care provider with primary practice located at 832 Cook Rd , Orangeburg SC 29118-2126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Ansley, John Fitzgerald can be contacted via phone (803) 536-5511.Contact Information
Primary practice address
832 Cook Rd
Orangeburg SC 29118-2126
Phone: (803) 536-5511
Fax: (803) 536-0636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 21712 | South Carolina |
| Other Service Providers / Specialist | 174400000X | 21712 | South Carolina |
Profile Details
| NPI number | 1790733590 |
|---|---|
| LBN Legal business name | Ansley, John Fitzgerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 9th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790733590 | NPPES |
| South Carolina | MEDICAID | PA2835 |
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