Mcelveen Jr., Jesse Woodrow

Mcelveen Jr., Jesse Woodrow is an individual health care provider with primary practice located at 2039 N Main St , Summerville SC 29483-7821. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcelveen Jr., Jesse Woodrow can be contacted via phone (843) 871-0433.

Contact Information

Primary practice address
2039 N Main St Summerville SC 29483-7821
Phone: (843) 871-0433
Fax: (843) 871-0433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2046 South Carolina

Profile Details

NPI number 1568420933
LBN Legal business name Mcelveen Jr., Jesse Woodrow
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 9th, 2007 - about 17 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 1568420933 NPPES
South Carolina MEDICAID Z20460
South Carolina Other 157210
South Carolina MEDICAID ZA9943
South Carolina Other 488858
South Carolina Other ZA035 3

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