Mccaslan, Johnathan Christopher

Mccaslan, Johnathan Christopher is an individual health care provider with primary practice located at 1325 Spring St , Greenwood SC 29646-3860. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mccaslan, Johnathan Christopher can be contacted via phone (864) 725-4780.

Contact Information

Primary practice address
1325 Spring St Greenwood SC 29646-3860
Fax: (864) 725-4778
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1081 South Carolina

Profile Details

NPI number 1124076146
LBN Legal business name Mccaslan, Johnathan Christopher
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 3rd, 2014 - about 11 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 1124076146 NPPES
South Carolina MEDICAID 0369PA

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