Johannesmeyer, David Charles

Johannesmeyer, David Charles is an individual health care provider with primary practice located at 2880 Tricom St , North Charleston SC 29406. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Johannesmeyer, David Charles can be contacted via phone (843) 797-5050.

Contact Information

Primary practice address
2880 Tricom St North Charleston SC 29406
Phone: (843) 797-5050
Fax: (843) 797-3633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD2017-0982 New Mexico
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD51972 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD51972 South Carolina

Profile Details

NPI number 1255697967
LBN Legal business name Johannesmeyer, David Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Mar 13th, 2020 - about 5 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 1255697967 NPPES
South Carolina MEDICAID 519727

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