Jack, Krystin Monet
Jack, Krystin Monet is an individual health care provider with primary practice located at 300 Singleton Ridge Rd , Conway SC 29526-9142. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jack, Krystin Monet can be contacted via phone (843) 234-5139.Contact Information
Primary practice address
300 Singleton Ridge Rd
Conway SC 29526-9142
Phone: (843) 234-5139
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME123123 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 83059 | South Carolina |
Profile Details
NPI number | 1578829982 |
---|---|
LBN Legal business name | Jack, Krystin Monet |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2012 |
Last updated | Sep 19th, 2019 - about 6 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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