Jahnke, John

Jahnke, John is an individual health care provider with primary practice located at 2475 Broad St , Sumter SC 29150-1820. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jahnke, John can be contacted via phone (803) 778-6555.

Contact Information

Primary practice address
2475 Broad St Sumter SC 29150-1820
Phone: (803) 778-6555
Fax: (803) 773-8226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1066142 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2470 South Carolina

Profile Details

NPI number 1699765768
LBN Legal business name Jahnke, John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Oct 24th, 2018 - about 5 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 1699765768 NPPES
South Carolina MEDICAID 570769093

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