Devries, Jon P
Devries, Jon P is an individual health care provider with primary practice located at 9100 Medcom St , North Charleston SC 29406-9167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Devries, Jon P can be contacted via phone (843) 569-3367.Contact Information
Primary practice address
9100 Medcom St
North Charleston SC 29406-9167
Phone: (843) 569-3367
Fax: (843) 764-3577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 22480 | South Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 22480 | South Carolina |
Profile Details
| NPI number | 1053328682 |
|---|---|
| LBN Legal business name | Devries, Jon P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053328682 | NPPES |
| South Carolina | MEDICAID | T67308 |
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