Coward, Jacob

Coward, Jacob is an individual health care provider with primary practice located at 518 E Carolina Ave Ste B , Hartsville SC 29550-4312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Coward, Jacob can be contacted via phone (843) 383-4426.

Contact Information

Primary practice address
518 E Carolina Ave Ste B Hartsville SC 29550-4312
Phone: (843) 383-4426
Fax: (843) 383-8509
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3317 South Carolina

Profile Details

NPI number 1396939971
LBN Legal business name Coward, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Jul 15th, 2015 - about 11 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 1396939971 NPPES
South Carolina Other 20066947 SELECT HEALTH
South Carolina Other 3317 SELECT HEALTH
South Carolina MEDICAID NP1148 SELECT HEALTH

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