Kleckley, John Edgar
Kleckley, John Edgar is an individual health care provider with primary practice located at 1200 Two Island Ct Unit E , Mt Pleasant SC 29466-7418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kleckley, John Edgar can be contacted via phone (854) 444-7676.Contact Information
Primary practice address
1200 Two Island Ct Unit E
Mt Pleasant SC 29466-7418
Phone: (854) 444-7676
Fax: (854) 999-0549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 29749 | South Carolina |
Profile Details
| NPI number | 1356544100 |
|---|---|
| LBN Legal business name | Kleckley, John Edgar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | May 26th, 2022 - about 2 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 | 1356544100 | NPPES |
| South Carolina | Other | P00467100 | RAILROAD MEDICARE PIN |
| South Carolina | MEDICAID | 297495 | RAILROAD MEDICARE PIN |
| South Carolina | Other | P00803393 | RAILROAD MEDICARE PIN |
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