Mccreight, Jill Bagwell
Mccreight, Jill Bagwell is an individual health care provider with primary practice located at 807 N Main St , Travelers Rest SC 29690-1551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mccreight, Jill Bagwell can be contacted via phone (864) 455-9150.Contact Information
Primary practice address
807 N Main St
Travelers Rest SC 29690-1551
Phone: (864) 455-9150
Fax: (864) 455-9236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 19468 | South Carolina |
Profile Details
| NPI number | 1669851010 |
|---|---|
| LBN Legal business name | Mccreight, Jill Bagwell |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2015 |
| Last updated | Jul 15th, 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 | 1669851010 | NPPES |
| South Carolina | MEDICAID | NP3329 |
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