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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1215929757 NPPES
Other 25942 MEDCOST
MEDICAID 082500 MEDCOST

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