Bethea, Jeffrey

Bethea, Jeffrey is an individual health care provider with primary practice located at 410 N Main St , Marion SC 29571-3030. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Bethea, Jeffrey can be contacted via phone (843) 765-3212.

Contact Information

Primary practice address
410 N Main St Marion SC 29571-3030
Phone: (843) 765-3212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1750879144
LBN Legal business name Bethea, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2018
Last updated May 1st, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750879144 NPPES
South Carolina MEDICAID EX1183

Popular Providers