Odom, Jerry Deanie
Odom, Jerry Deanie is an sole proprietor health care provider with primary practice located at 147 Pendleton St Nw , Aiken SC 29801-3859. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Odom, Jerry Deanie can be contacted via phone (803) 646-4381.Contact Information
Primary practice address
147 Pendleton St Nw
Aiken SC 29801-3859
Phone: (803) 646-4381
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-010666 | Illinois |
| Chiropractic Providers / Chiropractor | 111N00000X | 3522 | South Carolina |
Profile Details
| NPI number | 1154546240 |
|---|---|
| LBN Legal business name | Odom, Jerry Deanie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Aug 26th, 2010 - about 14 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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