Cherry, Jacqueline Suzanne

Cherry, Jacqueline Suzanne is an sole proprietor health care provider with primary practice located at 149 Scott St , Daniel Island SC 29492-7515. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cherry, Jacqueline Suzanne can be contacted via phone (843) 856-9523.

Contact Information

Primary practice address
149 Scott St Daniel Island SC 29492-7515
Phone: (843) 856-9523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1781 South Carolina

Profile Details

NPI number 1114084761
LBN Legal business name Cherry, Jacqueline Suzanne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1114084761 NPPES
South Carolina MEDICAID THO667

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