Colburn, Jennifer Sommerville

Colburn, Jennifer Sommerville is an individual health care provider with primary practice located at 1686 Skylyn Dr Suite 201, Spartanburg SC 29307-1079. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Colburn, Jennifer Sommerville can be contacted via phone (864) 582-8135.

Contact Information

Primary practice address
1686 Skylyn Dr Suite 201 Spartanburg SC 29307-1079
Phone: (864) 582-8135
Fax: (864) 573-9757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27223 South Carolina

Profile Details

NPI number 1477583169
LBN Legal business name Colburn, Jennifer Sommerville
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 1st, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477583169 NPPES
South Carolina Other 576007863102 BCBS
South Carolina MEDICAID 272234 BCBS

Popular Providers