Goeldi, John Jeffrey

Goeldi, John Jeffrey is an individual health care provider with primary practice located at 8988 University Blvd Suite 104, North Charleston SC 29406-9183. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goeldi, John Jeffrey can be contacted via phone (843) 764-3200.

Contact Information

Primary practice address
8988 University Blvd Suite 104 North Charleston SC 29406-9183
Fax: (843) 764-0220
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 991 South Carolina

Profile Details

NPI number 1639153604
LBN Legal business name Goeldi, John Jeffrey
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 8th, 2008 - about 17 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 1639153604 NPPES
South Carolina MEDICAID CH0991

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