Yaden, Jerald G
Yaden, Jerald G is an sole proprietor health care provider with primary practice located at 425 Barony St , Moncks Corner SC 29461. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Yaden, Jerald G can be contacted via phone (843) 899-7933.Contact Information
Primary practice address
425 Barony St
Moncks Corner SC 29461
Phone: (843) 899-7933
Fax: (843) 899-5796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1432 | South Carolina |
Profile Details
| NPI number | 1033171038 |
|---|---|
| LBN Legal business name | Yaden, Jerald G |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Mar 11th, 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 | 1033171038 | NPPES |
| South Carolina | MEDICAID | CH1432 |
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