Dean, Jordan Arthur
Dean, Jordan Arthur is an individual health care provider with primary practice located at 111 Omni Drive , Seneca SC 29672-9448. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dean, Jordan Arthur can be contacted via phone (864) 888-4222.Contact Information
Primary practice address
111 Omni Drive
Seneca SC 29672-9448
Phone: (864) 888-4222
Fax: (864) 888-0023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10252 | South Carolina |
Profile Details
| NPI number | 1700887189 |
|---|---|
| LBN Legal business name | Dean, Jordan Arthur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | May 19th, 2016 - about 9 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 | 1700887189 | NPPES |
| South Carolina | MEDICAID | GP4697 | |
| South Carolina | MEDICAID | 102524 |
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