Jolles, Alan Mark
Jolles, Alan Mark is an individual health care provider with primary practice located at 1748 Saint Matthews Rd , Orangeburg SC 29118-2441. 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) 536-0613.Contact Information
Primary practice address
1748 Saint Matthews Rd
Orangeburg SC 29118-2441
Phone: (803) 536-0613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 | Nov 11th, 2024 - about 2 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 | 1093744849 | NPPES |
| South Carolina | MEDICAID | GP3036 |
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