Presberg, Jan

Presberg, Jan is an sole proprietor health care provider with primary practice located at 3227 Sunset Blvd Ste D103 , West Columbia SC 29169-3201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Presberg, Jan can be contacted via phone (803) 791-1485.

Contact Information

Primary practice address
3227 Sunset Blvd Ste D103 West Columbia SC 29169-3201
Fax: (803) 939-9378
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 22802 South Carolina

Profile Details

NPI number 1386796795
LBN Legal business name Presberg, Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jan 11th, 2017 - about 7 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 1386796795 NPPES
South Carolina MEDICAID 228024

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