Short, John P

Short, John P is an sole proprietor health care provider with primary practice located at 1325 Spring St , Greenwood SC 29646-3860. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Short, John P can be contacted via phone (864) 725-4780.

Contact Information

Primary practice address
1325 Spring St Greenwood SC 29646-3860
Phone: (864) 725-4780
Fax: (864) 725-4778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1982 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001 South Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1651 South Carolina

Profile Details

NPI number 1235176520
LBN Legal business name Short, John P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2006
Last updated Aug 11th, 2021 - about 4 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 1235176520 NPPES
South Carolina MEDICAID 016510
South Carolina MEDICAID 2774136
South Carolina MEDICAID 1811051000

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