O'Dell, Jason B

O'Dell, Jason B is an individual health care provider with primary practice located at 1005 E Cheves St , Florence SC 29506-2707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. O'Dell, Jason B can be contacted via phone (843) 777-7900.

Contact Information

Primary practice address
1005 E Cheves St Florence SC 29506-2707
Phone: (843) 777-7900
Fax: (843) 777-7102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 27197 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME103720 Florida
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 27197 South Carolina

Profile Details

NPI number 1174733125
LBN Legal business name O'Dell, Jason B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Feb 15th, 2021 - about 4 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 1174733125 NPPES
Florida MEDICAID 00052500
Florida Other 9234356
Florida MEDICAID 21464
Florida Other 329791
Florida Other 9250826
Florida Other 23163
Florida MEDICAID 271976

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