Prezzy, Jerome

Prezzy, Jerome is an sole proprietor health care provider with primary practice located at 2611 Forest Dr Suite 114A, Columbia SC 29204-2379. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Prezzy, Jerome can be contacted via phone (803) 799-0144.

Contact Information

Primary practice address
2611 Forest Dr Suite 114A Columbia SC 29204-2379
Phone: (803) 799-0144
Fax: (803) 799-1136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X MRW054 South Carolina

Profile Details

NPI number 1538206735
LBN Legal business name Prezzy, Jerome
Credentials MASTER'S OF ARTS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 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 1538206735 NPPES
South Carolina MEDICAID WP9902

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