Liu, Jonathan Jay

Liu, Jonathan Jay is an individual health care provider with primary practice located at 1200 Village Harbor Dr , Lake Wylie SC 29710-9092. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Liu, Jonathan Jay can be contacted via phone (803) 631-2858.

Contact Information

Primary practice address
1200 Village Harbor Dr Lake Wylie SC 29710-9092
Phone: (803) 631-2858
Fax: (803) 631-2862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2016-02298 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28083 South Carolina

Profile Details

NPI number 1639103039
LBN Legal business name Liu, Jonathan Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 23rd, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639103039 NPPES
North Carolina MEDICAID 1639103039
North Carolina MEDICAID 280831

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