Amerson, Jacob Cagney

Amerson, Jacob Cagney is an individual health care provider with primary practice located at 501 Forest Ln Suite A, Clemson SC 29631-2621. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Amerson, Jacob Cagney can be contacted via phone (864) 654-2001.

Contact Information

Primary practice address
501 Forest Ln Suite A Clemson SC 29631-2621
Phone: (864) 654-2001
Fax: (800) 305-7112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7742 South Carolina

Profile Details

NPI number 1659752186
LBN Legal business name Amerson, Jacob Cagney
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2015
Last updated Jul 27th, 2016 - about 10 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 1659752186 NPPES
South Carolina MEDICAID TH2957

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