Pavao, James Joseph

Pavao, James Joseph is an individual health care provider with primary practice located at 2145 Henry Tecklenburg Dr , Charleston SC 29414-5893. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Pavao, James Joseph can be contacted via phone (843) 723-8823.

Contact Information

Primary practice address
2145 Henry Tecklenburg Dr Charleston SC 29414-5893
Phone: (843) 723-8823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1582 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1325 South Carolina

Profile Details

NPI number 1952490013
LBN Legal business name Pavao, James Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 20th, 2015 - about 11 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 1952490013 NPPES
South Carolina Other GP5006 MEDICAID GROUP #
South Carolina Other GP5005 MEDICAID GROUP #
South Carolina Other GP5072 MEDICAID GROUP #
South Carolina Other 5551 MEDICAID GROUP #
South Carolina MEDICAID 0733PA MEDICAID GROUP #
South Carolina Other GP5004 MEDICAID GROUP #
South Carolina Other P00648630 MEDICAID GROUP #
South Carolina Other GP5007 MEDICAID GROUP #

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