Hendrick, John Hampton
Hendrick, John Hampton is an individual health care provider with primary practice located at 2180 Henry Tecklenburg Dr , Charleston SC 29414. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hendrick, John Hampton can be contacted via phone (843) 556-8886.Contact Information
Primary practice address
2180 Henry Tecklenburg Dr
Charleston SC 29414
Phone: (843) 556-8886
Fax: (843) 556-8850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA709 | South Carolina |
Profile Details
| NPI number | 1528021896 |
|---|---|
| LBN Legal business name | Hendrick, John Hampton |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Aug 26th, 2019 - about 5 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 | 1528021896 | NPPES |
| Other | P01048436 | RR MEDICARE |
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