Lindaberry, Jeffrey Samuel

Lindaberry, Jeffrey Samuel is an individual health care provider with primary practice located at 108 Finnegan Ct , Myrtle Beach SC 29579. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lindaberry, Jeffrey Samuel can be contacted via phone (843) 903-9993.

Contact Information

Primary practice address
108 Finnegan Ct Myrtle Beach SC 29579
Phone: (843) 903-9993
Fax: (843) 903-3356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 712 South Carolina

Profile Details

NPI number 1164414546
LBN Legal business name Lindaberry, Jeffrey Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Feb 22nd, 2021 - about 3 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 1164414546 NPPES
South Carolina MEDICAID 007129
South Carolina Other 712

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