Gheraibeh, Jafer Nasser

Gheraibeh, Jafer Nasser is an sole proprietor health care provider with primary practice located at 500 Thurgood Marshall Hwy , Kingstree SC 29556-4143. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gheraibeh, Jafer Nasser can be contacted via phone (843) 355-1969.

Contact Information

Primary practice address
500 Thurgood Marshall Hwy Kingstree SC 29556-4143
Fax: (843) 355-1869
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10718 South Carolina

Profile Details

NPI number 1376527549
LBN Legal business name Gheraibeh, Jafer Nasser
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Jul 9th, 2007 - about 19 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 1376527549 NPPES
South Carolina MEDICAID 107182

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