D'Antoni, Jennifer G

D'Antoni, Jennifer G is an individual health care provider with primary practice located at 3231 Sunset Blvd Suite C, West Columbia SC 29169-3483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. D'Antoni, Jennifer G can be contacted via phone (803) 454-8500.

Contact Information

Primary practice address
3231 Sunset Blvd Suite C West Columbia SC 29169-3483
Phone: (803) 454-8500
Fax: (803) 454-8505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1006 South Carolina

Profile Details

NPI number 1730188517
LBN Legal business name D'Antoni, Jennifer G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Mar 21st, 2013 - about 11 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 1730188517 NPPES
South Carolina MEDICAID 0307PA

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