Marcovici, Iacob
Marcovici, Iacob is an individual health care provider with primary practice located at 911 Medical Cir , Myrtle Beach SC 29572-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Marcovici, Iacob can be contacted via phone (843) 472-7825.Contact Information
Primary practice address
911 Medical Cir
Myrtle Beach SC 29572-4116
Phone: (843) 472-7825
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35610 | South Carolina |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 35610 | South Carolina |
Profile Details
NPI number | 1063400240 |
---|---|
LBN Legal business name | Marcovici, Iacob |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2005 |
Last updated | Jan 27th, 2017 - about 8 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 | 1063400240 | NPPES |
South Carolina | MEDICAID | 356108 |
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