Short, John P
Short, John P is an sole proprietor health care provider with primary practice located at 1325 Spring St , Greenwood SC 29646-3860. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Short, John P can be contacted via phone (864) 725-4780.Contact Information
Primary practice address
1325 Spring St
Greenwood SC 29646-3860
Phone: (864) 725-4780
Fax: (864) 725-4778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 1982 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2001 | South Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 1651 | South Carolina |
Profile Details
| NPI number | 1235176520 |
|---|---|
| LBN Legal business name | Short, John P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Aug 11th, 2021 - about 4 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 | 1235176520 | NPPES |
| South Carolina | MEDICAID | 016510 | |
| South Carolina | MEDICAID | 2774136 | |
| South Carolina | MEDICAID | 1811051000 |
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