Jefferson, Tyvon

Jefferson, Tyvon is an individual health care provider with primary practice located at 237 Brook Pines Dr Apt 11111 , Columbia SC 29210-0511. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Jefferson, Tyvon can be contacted via phone (843) 617-0997.

Contact Information

Primary practice address
237 Brook Pines Dr Apt 11111 Columbia SC 29210-0511
Phone: (843) 617-0997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1239 South Carolina

Profile Details

NPI number 1881350155
LBN Legal business name Jefferson, Tyvon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2021
Last updated Nov 11th, 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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