Jervey, Edward D
Jervey, Edward D is an individual health care provider with primary practice located at 113 Doctors Dr , Greenville SC 29605-5608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jervey, Edward D can be contacted via phone (864) 269-3333.Contact Information
Primary practice address
113 Doctors Dr
Greenville SC 29605-5608
Phone: (864) 269-3333
Fax: (864) 295-1288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5266 | South Carolina |
Profile Details
| NPI number | 1760431035 |
|---|---|
| LBN Legal business name | Jervey, Edward D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2006 |
| Last updated | Mar 15th, 2012 - about 14 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 | 1760431035 | NPPES |
| South Carolina | Other | B916671571 | MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE |
| South Carolina | Other | B916676180 | MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE |
| South Carolina | Other | 1760431035 | MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE |
| South Carolina | MEDICAID | 52668 | MEDICARE UPIN GROUP NUMBER GREENVILLE OFFICE |
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