Cundiff, Jason David
Cundiff, Jason David is an sole proprietor health care provider with primary practice located at 135 Commonwealth Dr Ste 210 , Greenville SC 29615-4850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cundiff, Jason David can be contacted via phone (864) 675-4815.Contact Information
Primary practice address
135 Commonwealth Dr Ste 210
Greenville SC 29615-4850
Phone: (864) 675-4815
Fax: (877) 893-3779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 025774 | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 88865 | South Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME134536 | Florida |
Profile Details
| NPI number | 1497926323 |
|---|---|
| LBN Legal business name | Cundiff, Jason David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2008 |
| Last updated | Mar 15th, 2024 - about last year |
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 | 1497926323 | NPPES |
| Florida | MEDICAID | 023066800 |
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