Short, Jeffrey Keith

Short, Jeffrey Keith is an individual health care provider with primary practice located at 1241 Woodland Avenue , Mount Pleasant SC 29464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Short, Jeffrey Keith can be contacted via phone (843) 824-0606.

Contact Information

Primary practice address
1241 Woodland Avenue Mount Pleasant SC 29464
Phone: (843) 824-0606
Fax: (843) 824-0909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 21549 South Carolina

Profile Details

NPI number 1538110663
LBN Legal business name Short, Jeffrey Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 14th, 2008 - about 17 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 1538110663 NPPES
South Carolina MEDICAID 215494
South Carolina Other 300128417

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