Douglas, Gershom Jacob

Douglas, Gershom Jacob is an sole proprietor health care provider with primary practice located at 1506 N Limestone St Ste B , Gaffney SC 29340-4747. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Douglas, Gershom Jacob can be contacted via phone (864) 489-4498.

Contact Information

Primary practice address
1506 N Limestone St Ste B Gaffney SC 29340-4747
Phone: (864) 489-4498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1135733 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 27568 South Carolina

Profile Details

NPI number 1902568942
LBN Legal business name Douglas, Gershom Jacob
Credentials APNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2021
Last updated Sep 14th, 2023 - about 3 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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