Keefe, Jerry M
Keefe, Jerry M is an individual health care provider with primary practice located at 3424 Shelby Ray Ct , Charleston SC 29414-5838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keefe, Jerry M can be contacted via phone (843) 402-6834.Contact Information
Primary practice address
3424 Shelby Ray Ct
Charleston SC 29414-5838
Phone: (843) 402-6834
Fax: (843) 573-9963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15359 | South Carolina |
Profile Details
| NPI number | 1902860935 |
|---|---|
| LBN Legal business name | Keefe, Jerry M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Sep 16th, 2009 - about 15 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 | 1902860935 | NPPES |
| South Carolina | MEDICAID | 153595 |
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