Molle, Jeffrey S.
Molle, Jeffrey S. is an individual health care provider with primary practice located at 176 Mcswain Dr , West Columbia SC 29169-4825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Molle, Jeffrey S. can be contacted via phone (803) 767-4465.Contact Information
Primary practice address
176 Mcswain Dr
West Columbia SC 29169-4825
Phone: (803) 767-4465
Fax: (803) 767-4120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 200901168 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101052466 | Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 84100 | South Carolina |
Profile Details
| NPI number | 1073577375 |
|---|---|
| LBN Legal business name | Molle, Jeffrey S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jul 12th, 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 | 1073577375 | NPPES |
| South Carolina | MEDICAID | N0116E | |
| South Carolina | MEDICAID | 010083401 |
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