Barham, Jordan R

Barham, Jordan R is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 120A , West Columbia SC 29169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Barham, Jordan R can be contacted via phone (803) 936-7076.

Contact Information

Primary practice address
146 E Hospital Dr Ste 120A West Columbia SC 29169
Phone: (803) 936-7076
Fax: (803) 936-7925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 20424 South Carolina

Profile Details

NPI number 1083169940
LBN Legal business name Barham, Jordan R
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2016
Last updated Oct 13th, 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 1083169940 NPPES
South Carolina MEDICAID NP5036

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