Jacobus, Russell Steven
Jacobus, Russell Steven is an sole proprietor health care provider with primary practice located at 1127 Old Rd , Chapin SC 29036-8512. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiography, which is considered as his primary health care specialty. Jacobus, Russell Steven can be contacted via phone (803) 771-0070.Contact Information
Primary practice address
1127 Old Rd
Chapin SC 29036-8512
Phone: (803) 771-0070
Fax: (803) 781-0077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Radiography | 2471C3402X |
Profile Details
| NPI number | 1841326287 |
|---|---|
| LBN Legal business name | Jacobus, Russell Steven |
| Credentials | RT(ARRT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1841326287 | NPPES |
| South Carolina | MEDICAID | 498018 |
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