Joudeh, Thaer A
Joudeh, Thaer A is an sole proprietor health care provider with primary practice located at 3919 S Highway 14 Bldg A, Greenville SC 29615-6138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Joudeh, Thaer A can be contacted via phone (864) 288-2006.Contact Information
Primary practice address
3919 S Highway 14 Bldg A
Greenville SC 29615-6138
Phone: (864) 288-2006
Fax: (864) 288-1678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21696 | South Carolina |
Profile Details
| NPI number | 1851355572 |
|---|---|
| LBN Legal business name | Joudeh, Thaer A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Mar 23rd, 2016 - about 8 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 | 1851355572 | NPPES |
| South Carolina | MEDICAID | 216965 |
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