Rearden, John Michael
Rearden, John Michael is an individual health care provider with primary practice located at 3012 Newcastle Loop , Myrtle Beach SC 29588. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rearden, John Michael can be contacted via phone (843) 215-2599.Contact Information
Primary practice address
3012 Newcastle Loop
Myrtle Beach SC 29588
Phone: (843) 215-2599
Fax: (843) 215-0238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3556 | South Carolina |
Profile Details
| NPI number | 1871541896 |
|---|---|
| LBN Legal business name | Rearden, John Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871541896 | NPPES |
| South Carolina | MEDICAID | 02281972 |
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