Ehreth, Jeffrey Thomas

Ehreth, Jeffrey Thomas is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 500 , Columbia SC 29203-6870. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Ehreth, Jeffrey Thomas can be contacted via phone (803) 434-2833.

Contact Information

Primary practice address
9 Richland Medical Park Dr Ste 500 Columbia SC 29203-6870
Phone: (803) 434-2833
Fax: (803) 434-2834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 18730 South Carolina
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 18730 South Carolina

Profile Details

NPI number 1962431304
LBN Legal business name Ehreth, Jeffrey Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 16th, 2021 - about 4 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 1962431304 NPPES
South Carolina Other G17963F935 MEDICARE
South Carolina MEDICAID Q00563 MEDICARE

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