Jarecky, Thomas W

Jarecky, Thomas W is an individual health care provider with primary practice located at 200 Patewood Dr Suite C100, Greenville SC 29615-3593. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jarecky, Thomas W can be contacted via phone (864) 454-4643.

Contact Information

Primary practice address
200 Patewood Dr Suite C100 Greenville SC 29615-3593
Phone: (864) 454-4643
Fax: (864) 454-4646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 14792 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 14792 South Carolina

Profile Details

NPI number 1619957354
LBN Legal business name Jarecky, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 16th, 2021 - about 3 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 1619957354 NPPES
South Carolina Other SCA0535019 MEDICARE PIN
South Carolina Other P00829559 MEDICARE PIN
South Carolina MEDICAID 147923 MEDICARE PIN

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