Lane, Jacob S
Lane, Jacob S is an individual health care provider with primary practice located at 169 Ashley Ave Rm 202 , Charleston SC 29425-7538. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Lane, Jacob S can be contacted via phone (843) 792-3298.Contact Information
Primary practice address
169 Ashley Ave Rm 202
Charleston SC 29425-7538
Phone: (843) 792-3298
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 89713 | South Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1558999383 |
|---|---|
| LBN Legal business name | Lane, Jacob S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2020 |
| Last updated | May 31st, 2023 - about 3 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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