Degen, Jerome B
Degen, Jerome B is an sole proprietor health care provider with primary practice located at 1175 Cook Rd Suite 305, Orangeburg SC 29118-8201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Degen, Jerome B can be contacted via phone (803) 536-9390.Contact Information
Primary practice address
1175 Cook Rd Suite 305
Orangeburg SC 29118-8201
Phone: (803) 536-9390
Fax: (803) 533-0911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 07054 | South Carolina |
Profile Details
| NPI number | 1669654448 |
|---|---|
| LBN Legal business name | Degen, Jerome B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Dec 4th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669654448 | NPPES |
| South Carolina | MEDICAID | 070540 |
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