Ehrenclou, Jesse Orvar

Ehrenclou, Jesse Orvar is an individual health care provider with primary practice located at 1410 Blanding St Suite 1, Columbia SC 29201-2967. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ehrenclou, Jesse Orvar can be contacted via phone (803) 254-2394.

Contact Information

Primary practice address
1410 Blanding St Suite 1 Columbia SC 29201-2967
Phone: (803) 254-2394
Fax: (803) 254-7125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X LL27059 South Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 27059 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 27059 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 27059 South Carolina

Profile Details

NPI number 1982792032
LBN Legal business name Ehrenclou, Jesse Orvar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 27th, 2020 - about 6 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 1982792032 NPPES
South Carolina MEDICAID 270593

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