Brown, Jennifaye Verdina
Brown, Jennifaye Verdina is an sole proprietor health care provider with primary practice located at 1000 Bonieta Harrold Drive #8102, Charleston SC 29414-5173. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as her primary health care specialty. Brown, Jennifaye Verdina can be contacted via phone (843) 364-5089.Contact Information
Primary practice address
1000 Bonieta Harrold Drive #8102
Charleston SC 29414-5173
Phone: (843) 364-5089
Fax: (843) 763-0229
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 2723 | South Carolina |
Profile Details
NPI number | 1043289499 |
---|---|
LBN Legal business name | Brown, Jennifaye Verdina |
Credentials | PT, PHD, NCS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 17th, 2006 |
Last updated | Aug 23rd, 2021 - about 3 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 | 1043289499 | NPPES |
South Carolina | MEDICAID | TH1548 |
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