Enterkin, Jacob Elidge

Enterkin, Jacob Elidge is an sole proprietor health care provider with primary practice located at 1304 W Bobo Newsom Hwy , Hartsville SC 29550-4710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Enterkin, Jacob Elidge can be contacted via phone (843) 339-4790.

Contact Information

Primary practice address
1304 W Bobo Newsom Hwy Hartsville SC 29550-4710
Phone: (843) 339-4790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL29855 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29855 South Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 305416 Louisiana

Profile Details

NPI number 1306043096
LBN Legal business name Enterkin, Jacob Elidge
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated Dec 26th, 2017 - about 7 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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