Altier, Jake William
Altier, Jake William is an individual health care provider with primary practice located at 2085 Henry Tecklenburg Dr Ste 320 , Charleston SC 29414-7713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Altier, Jake William can be contacted via phone (843) 571-6067.Contact Information
Primary practice address
2085 Henry Tecklenburg Dr Ste 320
Charleston SC 29414-7713
Phone: (843) 571-6067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 82942 | South Carolina |
Profile Details
| NPI number | 1154983096 |
|---|---|
| LBN Legal business name | Altier, Jake William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2019 |
| Last updated | Jan 25th, 2025 - about last year |
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 | 1154983096 | NPPES |
| South Carolina | MEDICAID | 829429 |
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