Gersbach, Jeffrey Clark

Gersbach, Jeffrey Clark is an individual health care provider with primary practice located at 2645 Burden Creek Rd , Johns Island SC 29455-4604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gersbach, Jeffrey Clark can be contacted via phone (843) 224-0880.

Contact Information

Primary practice address
2645 Burden Creek Rd Johns Island SC 29455-4604
Phone: (843) 224-0880
Fax: (425) 944-8954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X 021585 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 14843 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101042360 Virginia

Profile Details

NPI number 1548274343
LBN Legal business name Gersbach, Jeffrey Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548274343 NPPES
South Carolina Other 010653103 PRIVATE INSURANCE
South Carolina Other 010653103003 PRIVATE INSURANCE
South Carolina MEDICAID 148432 GP4105 PRIVATE INSURANCE

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