Beatty, Jennifer F.

Beatty, Jennifer F. is an individual health care provider with primary practice located at 4975 Lacross Rd Ste 110 , North Charleston SC 29406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Beatty, Jennifer F. can be contacted via phone (843) 797-1941.

Contact Information

Primary practice address
4975 Lacross Rd Ste 110 North Charleston SC 29406
Phone: (843) 797-1941
Fax: (843) 574-1698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 910 South Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 212870 South Carolina

Profile Details

NPI number 1952387979
LBN Legal business name Beatty, Jennifer F.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 9th, 2018 - about 8 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 1952387979 NPPES
South Carolina MEDICAID 009109

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