Leclerc, Jermaine
Leclerc, Jermaine is an individual health care provider with primary practice located at 7 Independence Pt Ste 300 , Greenville SC 29615-4569. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Leclerc, Jermaine can be contacted via phone (864) 522-3700.Contact Information
Primary practice address
7 Independence Pt Ste 300
Greenville SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | AA000016 | District of Columbia |
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | AA121 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 96 | South Carolina |
Profile Details
NPI number | 1346492428 |
---|---|
LBN Legal business name | Leclerc, Jermaine |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2008 |
Last updated | Oct 27th, 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 | 1346492428 | NPPES |
South Carolina | MEDICAID | PENDING |
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