Devries, Jon P

Devries, Jon P is an individual health care provider with primary practice located at 9100 Medcom St , North Charleston SC 29406-9167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Devries, Jon P can be contacted via phone (843) 569-3367.

Contact Information

Primary practice address
9100 Medcom St North Charleston SC 29406-9167
Phone: (843) 569-3367
Fax: (843) 764-3577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 22480 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22480 South Carolina

Profile Details

NPI number 1053328682
LBN Legal business name Devries, Jon P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Sep 24th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053328682 NPPES
South Carolina MEDICAID T67308

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