Jeffcoat, William Travis
Jeffcoat, William Travis is an individual health care provider with primary practice located at 109 Health Way , Anderson SC 29621-3333. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Jeffcoat, William Travis can be contacted via phone (864) 224-5700.Contact Information
Primary practice address
109 Health Way
Anderson SC 29621-3333
Phone: (864) 224-5700
Fax: (864) 226-0680
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | TL1830 | South Carolina |
Profile Details
NPI number | 1437400363 |
---|---|
LBN Legal business name | Jeffcoat, William Travis |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2012 |
Last updated | Apr 19th, 2016 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437400363 | NPPES |
South Carolina | Other | P01616415 | RR MEDICARE |
South Carolina | MEDICAID | 1671PA | RR MEDICARE |
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