Motlis, Andrew Jonathan
Motlis, Andrew Jonathan is an individual health care provider with primary practice located at 107 Omni Dr Ste A , Seneca SC 29672-9448. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Motlis, Andrew Jonathan can be contacted via phone (864) 482-3285.Contact Information
Primary practice address
107 Omni Dr Ste A
Seneca SC 29672-9448
Phone: (864) 482-3285
Fax: (864) 482-3287
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 40140 | South Carolina |
Profile Details
NPI number | 1083909402 |
---|---|
LBN Legal business name | Motlis, Andrew Jonathan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2011 |
Last updated | Jun 20th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083909402 | NPPES |
South Carolina | MEDICAID | PENDING | |
South Carolina | MEDICAID | 401407 | |
South Carolina | Other | SCA6715206 |
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