Herndon, Jeffrey Walter
Herndon, Jeffrey Walter is an sole proprietor health care provider with primary practice located at 990 Academy Rd , Walterboro SC 29488-9266. He recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as his primary health care specialty. Herndon, Jeffrey Walter can be contacted via phone (843) 893-8122.Contact Information
Primary practice address
990 Academy Rd
Walterboro SC 29488-9266
Phone: (843) 893-8122
Fax: (843) 549-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | 165834 | South Carolina |
Profile Details
| NPI number | 1649604000 |
|---|---|
| LBN Legal business name | Herndon, Jeffrey Walter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2013 |
| Last updated | Aug 21st, 2013 - about 11 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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