Price, Jesse William

Price, Jesse William is an individual health care provider with primary practice located at 180 Wingo Way Suite 306, Mt Pleasant SC 29464-1812. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Price, Jesse William can be contacted via phone (843) 884-1777.

Contact Information

Primary practice address
180 Wingo Way Suite 306 Mt Pleasant SC 29464-1812
Phone: (843) 884-1777
Fax: (843) 884-0710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1738 South Carolina

Profile Details

NPI number 1093091761
LBN Legal business name Price, Jesse William
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2011
Last updated Jan 5th, 2022 - about 2 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 1093091761 NPPES
South Carolina MEDICAID 1579PA

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