Colker, Jack E

Colker, Jack E is an individual health care provider with primary practice located at 701 Grove Rd Er Administration, Greenville SC 29605-5611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Colker, Jack E can be contacted via phone (864) 455-6372.

Contact Information

Primary practice address
701 Grove Rd Er Administration Greenville SC 29605-5611
Phone: (864) 455-6372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17721 South Carolina

Profile Details

NPI number 1902869993
LBN Legal business name Colker, Jack E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 20th, 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 1902869993 NPPES
South Carolina Other 57-6007863 BLUE CROSS
South Carolina Other 930116693 BLUE CROSS
South Carolina MEDICAID 177212 BLUE CROSS

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