Horres, John Jacob
Horres, John Jacob is an sole proprietor health care provider with primary practice located at 101 Rutledge Ave , Charleston SC 29401-1722. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Horres, John Jacob can be contacted via phone (843) 722-3199.Contact Information
Primary practice address
101 Rutledge Ave
Charleston SC 29401-1722
Phone: (843) 722-3199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2073 | South Carolina |
Profile Details
| NPI number | 1043373327 |
|---|---|
| LBN Legal business name | Horres, John Jacob |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043373327 | NPPES |
| South Carolina | MEDICAID | 279623 |
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