Jacques, Denise M

Jacques, Denise M is an individual health care provider with primary practice located at 200 Patewood Dr Suite A120, Greenville SC 29615-3593. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Jacques, Denise M can be contacted via phone (864) 454-2670.

Contact Information

Primary practice address
200 Patewood Dr Suite A120 Greenville SC 29615-3593
Phone: (864) 454-2670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 22187 South Carolina

Profile Details

NPI number 1144289687
LBN Legal business name Jacques, Denise M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Feb 5th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144289687 NPPES
South Carolina MEDICAID 221879

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