Ponds, Jeremy Thomas

Ponds, Jeremy Thomas is an sole proprietor health care provider with primary practice located at 147 Vera Rd Ste A , Lexington SC 29072-3756. He recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is his primary health care specialty. Ponds, Jeremy Thomas can be contacted via phone (803) 575-0468.

Contact Information

Primary practice address
147 Vera Rd Ste A Lexington SC 29072-3756
Phone: (803) 575-0468
Fax: (803) 728-3224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 638 South Carolina
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 638 South Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L006090 North Carolina

Profile Details

NPI number 1558669358
LBN Legal business name Ponds, Jeremy Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2011
Last updated Feb 22nd, 2024 - about 10 months 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 1558669358 NPPES
North Carolina Other 20B5K BCBS NC
North Carolina MEDICAID DT1055 BCBS NC

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