Pike, Jeffrey Russell

Pike, Jeffrey Russell is an individual health care provider with primary practice located at 5070 International Blvd Ste 131 , N Charleston SC 29418-6007. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Pike, Jeffrey Russell can be contacted via phone (843) 402-5053.

Contact Information

Primary practice address
5070 International Blvd Ste 131 N Charleston SC 29418-6007
Phone: (843) 402-5053
Fax: (843) 724-1325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1385 South Carolina

Profile Details

NPI number 1689825895
LBN Legal business name Pike, Jeffrey Russell
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Jan 19th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689825895 NPPES
South Carolina Other AA86079223 MEDICARE PIN
South Carolina MEDICAID 0744PA MEDICARE PIN

Popular Providers