Pence, John William
Pence, John William is an individual health care provider with primary practice located at 1815 Old Trolley Rd , Summerville SC 29485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pence, John William can be contacted via phone (843) 875-0440.Contact Information
Primary practice address
1815 Old Trolley Rd
Summerville SC 29485
Phone: (843) 875-0440
Fax: (843) 875-0442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9698 | South Carolina |
Profile Details
| NPI number | 1245260876 |
|---|---|
| LBN Legal business name | Pence, John William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1245260876 | NPPES |
| South Carolina | MEDICAID | TL9452 |
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