Jimison, Raymond Ellsworth
Jimison, Raymond Ellsworth is an sole proprietor health care provider with primary practice located at 11 Robert Smalls Pkwy , Beaufort SC 29906-4216. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jimison, Raymond Ellsworth can be contacted via phone (843) 524-8302.Contact Information
Primary practice address
11 Robert Smalls Pkwy
Beaufort SC 29906-4216
Phone: (843) 524-8302
Fax: (843) 379-5974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 634 | South Carolina |
Profile Details
| NPI number | 1346206919 |
|---|---|
| LBN Legal business name | Jimison, Raymond Ellsworth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Feb 21st, 2011 - 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 | 1346206919 | NPPES |
| South Carolina | MEDICAID | 140732 |
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