Botstein, Jonathan Eric

Botstein, Jonathan Eric is an individual health care provider with primary practice located at 1210 W Faris Rd , Greenville SC 29605-4444. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Botstein, Jonathan Eric can be contacted via phone (864) 522-1800.

Contact Information

Primary practice address
1210 W Faris Rd Greenville SC 29605-4444
Phone: (864) 522-1800
Fax: (864) 522-1806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35632 South Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 35632 South Carolina

Profile Details

NPI number 1336385616
LBN Legal business name Botstein, Jonathan Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2008
Last updated Jun 16th, 2022 - about 2 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 1336385616 NPPES
South Carolina MEDICAID 356322

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