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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528021896 NPPES
Other P01048436 RR MEDICARE

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