Bender, Jenna Daggett
Bender, Jenna Daggett is an individual health care provider with primary practice located at 108 Healthcare Dr , Lancaster SC 29720-8037. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Bender, Jenna Daggett can be contacted via phone (803) 286-9963.Contact Information
Primary practice address
108 Healthcare Dr
Lancaster SC 29720-8037
Phone: (803) 286-9963
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-02317 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0010-02317 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2026 | South Carolina |
Profile Details
NPI number | 1902118102 |
---|---|
LBN Legal business name | Bender, Jenna Daggett |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2010 |
Last updated | Jan 25th, 2021 - about 4 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 | 1902118102 | NPPES |
South Carolina | MEDICAID | 1045PA |
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