Siddens, John Delmar
Siddens, John Delmar is an individual health care provider with primary practice located at 104 Simpson Street , Greenville SC 29605-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Siddens, John Delmar can be contacted via phone (864) 522-3900.Contact Information
Primary practice address
104 Simpson Street
Greenville SC 29605-3593
Phone: (864) 522-3900
Fax: (864) 522-3909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 291 | South Carolina |
Profile Details
| NPI number | 1407826993 |
|---|---|
| LBN Legal business name | Siddens, John Delmar |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407826993 | NPPES |
| South Carolina | Other | 180018447 | MEDICARE RAILROAD |
| South Carolina | Other | 2556148003 | MEDICARE RAILROAD |
| South Carolina | Other | 4232647 | MEDICARE RAILROAD |
| South Carolina | MEDICAID | TL0727 | MEDICARE RAILROAD |
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