Detorre, James B

Detorre, James B is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Detorre, James B can be contacted via phone (843) 789-7330.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 789-7330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 23690 North Carolina

Profile Details

NPI number 1073617122
LBN Legal business name Detorre, James B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jan 14th, 2016 - about 8 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 1073617122 NPPES
South Carolina MEDICAID 11054

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