Jolles, Alan Mark

Jolles, Alan Mark is an individual health care provider with primary practice located at 125 Express Ln , Orangeburg SC 29118-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jolles, Alan Mark can be contacted via phone (803) 535-3507.

Contact Information

Primary practice address
125 Express Ln Orangeburg SC 29118-2477
Fax: (803) 535-3514
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17228 South Carolina

Profile Details

NPI number 1093744849
LBN Legal business name Jolles, Alan Mark
Credentials M.D., P.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093744849 NPPES
South Carolina MEDICAID GP3036

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