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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1548551278 NPPES
South Carolina MEDICAID GP7839
South Carolina MEDICAID 273614612

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