Degenhart, Vincent J

Degenhart, Vincent J is an individual health care provider with primary practice located at 1315 Roberts Street Kershaw Health, Camden SC 29020. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Degenhart, Vincent J can be contacted via phone (803) 713-2619.

Contact Information

Primary practice address
1315 Roberts Street Kershaw Health Camden SC 29020
Phone: (803) 713-2619
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 8917 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 8917 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 8917 South Carolina

Profile Details

NPI number 1972693257
LBN Legal business name Degenhart, Vincent J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Jun 5th, 2019 - about 6 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 1972693257 NPPES
South Carolina Other 4129441 AETNA
South Carolina Other 050028863 AETNA
South Carolina Other 089175 AETNA
South Carolina Other 77789 AETNA
South Carolina MEDICAID 089175 AETNA
South Carolina Other 2000078 AETNA

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