Infante, Jorge Luis

Infante, Jorge Luis is an individual health care provider with primary practice located at 300 Singleton Ridge Rd , Conway SC 29526-9142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Infante, Jorge Luis can be contacted via phone (843) 347-8015.

Contact Information

Primary practice address
300 Singleton Ridge Rd Conway SC 29526-9142
Phone: (843) 347-8015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 27835 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME129975 Florida

Profile Details

NPI number 1437158870
LBN Legal business name Infante, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 15th, 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 1437158870 NPPES
South Carolina MEDICAID 278354
South Carolina MEDICAID 400685
South Carolina MEDICAID GP1426

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