Jacques, Daniel Mark

Jacques, Daniel Mark is an individual health care provider with primary practice located at 317 St. Francis Drive Suite 360, Greenville SC 29601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jacques, Daniel Mark can be contacted via phone (864) 232-8118.

Contact Information

Primary practice address
317 St. Francis Drive Suite 360 Greenville SC 29601
Phone: (864) 232-8118
Fax: (864) 370-2740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 17921 South Carolina

Profile Details

NPI number 1699750075
LBN Legal business name Jacques, Daniel Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jun 17th, 2015 - about 9 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 1699750075 NPPES
South Carolina Other 20051085 RR MEDICARE
South Carolina MEDICAID 179210 RR MEDICARE

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