Pence, Jeffrey C

Pence, Jeffrey C is an individual health care provider with primary practice located at 4348 Electric Rd , Roanoke VA 24018-0720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Pence, Jeffrey C can be contacted via phone (540) 769-0976.

Contact Information

Primary practice address
4348 Electric Rd Roanoke VA 24018-0720
Phone: (540) 769-0976
Fax: (540) 857-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 9500178 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 35.092404 Ohio
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 0101277715 Virginia

Profile Details

NPI number 1629063722
LBN Legal business name Pence, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Feb 14th, 2023 - about 2 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 1629063722 NPPES
Ohio MEDICAID 2881645
Ohio MEDICAID 8912334
Ohio Other 370015118
Ohio Other 12334

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