Picard, Jonathan Christian

Picard, Jonathan Christian is an individual health care provider with primary practice located at 1122 Chuck Dawley Blvd Ste 200 , Mount Pleasant SC 29464-4183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Picard, Jonathan Christian can be contacted via phone (843) 884-8045.

Contact Information

Primary practice address
1122 Chuck Dawley Blvd Ste 200 Mount Pleasant SC 29464-4183
Phone: (843) 884-8045
Fax: (843) 881-5081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 30650 South Carolina

Profile Details

NPI number 1619142841
LBN Legal business name Picard, Jonathan Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Oct 3rd, 2023 - about last year

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 1619142841 NPPES
South Carolina MEDICAID 306500

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