Dorman, John M
Dorman, John M is an individual health care provider with primary practice located at 403 Stony Landing Rd , Moncks Corner SC 29461-3967. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Dorman, John M can be contacted via phone (843) 761-8282.Contact Information
Primary practice address
403 Stony Landing Rd
Moncks Corner SC 29461-3967
Phone: (843) 761-8282
Fax: (843) 761-7308
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC5268 | South Carolina |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5268 | South Carolina |
Profile Details
NPI number | 1013009562 |
---|---|
LBN Legal business name | Dorman, John M |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 29th, 2006 |
Last updated | Oct 28th, 2020 - about 4 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 | 1013009562 | NPPES |
South Carolina | MEDICAID | 435201 | |
South Carolina | MEDICAID | 1760596480 |
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