Hancock, Jack Haynes
Hancock, Jack Haynes is an individual health care provider with primary practice located at 10 Enterprise Blvd Suite 209, Greenville SC 29615-6301. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hancock, Jack Haynes can be contacted via phone (864) 234-8811.Contact Information
Primary practice address
10 Enterprise Blvd Suite 209
Greenville SC 29615-6301
Phone: (864) 234-8811
Fax: (864) 234-8844
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1588 | South Carolina |
Profile Details
NPI number | 1013902980 |
---|---|
LBN Legal business name | Hancock, Jack Haynes |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1013902980 | NPPES |
South Carolina | MEDICAID | Z15889 |
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