Furtick, James

Furtick, James is an sole proprietor health care provider with primary practice located at 108 Stage Coach Lane Village Park, Orangeburg SC 29118-2499. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Furtick, James can be contacted via phone (803) 516-0200.

Contact Information

Primary practice address
108 Stage Coach Lane Village Park Orangeburg SC 29118-2499
Phone: (803) 516-0200
Fax: (803) 516-8288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4068 South Carolina

Profile Details

NPI number 1265441265
LBN Legal business name Furtick, James
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Mar 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265441265 NPPES
South Carolina MEDICAID SW1049

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