Fajardo, Emmanuel Andes
Fajardo, Emmanuel Andes is an individual health care provider with primary practice located at 704 N A St , Easley SC 29640-2142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fajardo, Emmanuel Andes can be contacted via phone (864) 859-4480.Contact Information
Primary practice address
704 N A St
Easley SC 29640-2142
Phone: (864) 859-4480
Fax: (864) 859-3750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 32136 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 32136 | South Carolina |
Profile Details
| NPI number | 1356412340 |
|---|---|
| LBN Legal business name | Fajardo, Emmanuel Andes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Nov 5th, 2021 - about 3 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 | 1356412340 | NPPES |
| South Carolina | MEDICAID | 321360 | |
| South Carolina | Other | AA4134 |
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