Jenkins, Everette Earl
Jenkins, Everette Earl is an individual health care provider with primary practice located at 222 S Herlong Ave , Rock Hill SC 29732-1158. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Jenkins, Everette Earl can be contacted via phone (803) 329-1234.Contact Information
Primary practice address
222 S Herlong Ave
Rock Hill SC 29732-1158
Phone: (803) 329-1234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 8250 | South Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 8250 | South Carolina |
Profile Details
| NPI number | 1215929757 |
|---|---|
| LBN Legal business name | Jenkins, Everette Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Feb 20th, 2012 - about 13 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 | 1215929757 | NPPES |
| Other | 25942 | MEDCOST | |
| MEDICAID | 082500 | MEDCOST |
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