Poole, Janet C

Poole, Janet C is an individual health care provider with primary practice located at 1410 S Kings Hwy , Myrtle Beach SC 29577-4509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Poole, Janet C can be contacted via phone (843) 448-2228.

Contact Information

Primary practice address
1410 S Kings Hwy Myrtle Beach SC 29577-4509
Phone: (843) 448-2228
Fax: (843) 448-2691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APN 2251 South Carolina

Profile Details

NPI number 1396732111
LBN Legal business name Poole, Janet C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Oct 4th, 2007 - about 17 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 1396732111 NPPES
South Carolina MEDICAID GP4266

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