Serafin, Jeremy

Serafin, Jeremy is an sole proprietor health care provider with primary practice located at 5003 Una Rd , Hartsville SC 29550-1954. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Serafin, Jeremy can be contacted via phone (843) 453-9985.

Contact Information

Primary practice address
5003 Una Rd Hartsville SC 29550-1954
Phone: (843) 453-9985
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC007609 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X 13914 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6251 South Carolina

Profile Details

NPI number 1811367501
LBN Legal business name Serafin, Jeremy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2015
Last updated Jun 24th, 2020 - about 5 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 1811367501 NPPES
South Carolina MEDICAID PC1698

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