Yelder, Jerome
Yelder, Jerome is an individual health care provider with primary practice located at 1101 Belleview St Ste 104 , Columbia SC 29201-1863. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Other Service Providers / Military Health Care Provider, Other Service Providers / Contractor, Other Service Providers / Health Educator, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Yelder, Jerome can be contacted via phone (803) 937-1623.Contact Information
Primary practice address
1101 Belleview St Ste 104
Columbia SC 29201-1863
Phone: (803) 937-1623
Fax: (803) 937-1623
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 45428 | South Carolina |
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 61388 | South Carolina |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 573768 | South Carolina |
Other Service Providers / Military Health Care Provider | 171000000X | 159AMP | South Carolina |
Other Service Providers / Contractor | 171W00000X | 73276 | South Carolina |
Other Service Providers / Health Educator | 174H00000X | 73276 | South Carolina |
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 5768 | South Carolina |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 159AMP | South Carolina |
Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 159AMP | South Carolina |
Profile Details
NPI number | 1548551278 |
---|---|
LBN Legal business name | Yelder, Jerome |
Credentials | PHD PSYD MBA MS MP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2011 |
Last updated | Jul 8th, 2020 - 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 | 1548551278 | NPPES |
South Carolina | MEDICAID | GP7839 | |
South Carolina | MEDICAID | 273614612 |
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