Root, Jennifer R.
Root, Jennifer R. is an individual health care provider with primary practice located at 7 Independence Pt Ste 300 , Greenville SC 29615-4569. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Root, Jennifer R. can be contacted via phone (864) 522-3700.Contact Information
Primary practice address
7 Independence Pt Ste 300
Greenville SC 29615-4569
Phone: (864) 522-3700
Fax: (864) 522-3705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 19353 | South Carolina |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 19353 | South Carolina |
Profile Details
NPI number | 1366405219 |
---|---|
LBN Legal business name | Root, Jennifer R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2006 |
Last updated | Mar 8th, 2024 - 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 | 1366405219 | NPPES |
South Carolina | MEDICAID | T33773 |
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