Jacques, Denise M
Jacques, Denise M is an individual health care provider with primary practice located at 200 Patewood Dr Suite A120, Greenville SC 29615-3593. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Jacques, Denise M can be contacted via phone (864) 454-2670.Contact Information
Primary practice address
200 Patewood Dr Suite A120
Greenville SC 29615-3593
Phone: (864) 454-2670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 22187 | South Carolina |
Profile Details
| NPI number | 1144289687 |
|---|---|
| LBN Legal business name | Jacques, Denise M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Feb 5th, 2008 - about 18 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 | 1144289687 | NPPES |
| South Carolina | MEDICAID | 221879 |
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