King, Jonathan D

King, Jonathan D is an individual health care provider with primary practice located at 157 Corley Mill Rd Ste 510, Lexington SC 29072-7600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. King, Jonathan D can be contacted via phone (803) 256-2483.

Contact Information

Primary practice address
157 Corley Mill Rd Ste 510 Lexington SC 29072-7600
Phone: (803) 256-2483
Fax: (803) 799-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 19193 South Carolina

Profile Details

NPI number 1811938830
LBN Legal business name King, Jonathan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 7th, 2014 - about 12 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 1811938830 NPPES
Other 621111 SELECT HEALTH
Other C14633 SELECT HEALTH
Other PA1382 SELECT HEALTH
Other 040011784 SELECT HEALTH
MEDICAID 191937 SELECT HEALTH

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