Koehler, Jayne Alyssa

Koehler, Jayne Alyssa is an individual health care provider with primary practice located at 122 Powell Dr , Lexington SC 29072-9203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Koehler, Jayne Alyssa can be contacted via phone (803) 957-8400.

Contact Information

Primary practice address
122 Powell Dr Lexington SC 29072-9203
Phone: (803) 957-8400
Fax: (803) 957-1939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TL1353 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1353 South Carolina

Profile Details

NPI number 1093967887
LBN Legal business name Koehler, Jayne Alyssa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2008
Last updated Nov 9th, 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 1093967887 NPPES
South Carolina Other 1080454 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

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