Pearson, Jameel

Pearson, Jameel is an sole proprietor health care provider with primary practice located at 675 N Matthews Rd , Lake City SC 29560-7027. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Pearson, Jameel can be contacted via phone (843) 394-7600.

Contact Information

Primary practice address
675 N Matthews Rd Lake City SC 29560-7027
Fax: (843) 394-2603
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1457703332
LBN Legal business name Pearson, Jameel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2016
Last updated Jul 5th, 2016 - about 8 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 1457703332 NPPES
South Carolina MEDICAID 3337

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