Reardon, Terry J
Reardon, Terry J is an individual health care provider with primary practice located at 64 Business Center Dr , Pawleys Island SC 29585-7963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reardon, Terry J can be contacted via phone (843) 314-1314.Contact Information
Primary practice address
64 Business Center Dr
Pawleys Island SC 29585-7963
Phone: (843) 314-1314
Fax: (843) 314-1306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L022746 | Louisiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21368 | South Carolina |
Profile Details
| NPI number | 1518961028 |
|---|---|
| LBN Legal business name | Reardon, Terry J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1518961028 | NPPES |
| Louisiana | MEDICAID | 1492744 |
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