1346488475 NPI number — SS&J ASSOCIATES

Table of content: (NPI 1346488475)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346488475 NPI number — SS&J ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SS&J ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BRIGHTSTAR HEALTHCARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346488475
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 226555
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILTON HEAD ISLAND
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-837-3773
Provider Business Mailing Address Fax Number:
843-843-3233

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29 PLANTATION PARK DR.
Provider Second Line Business Practice Location Address:
SUITE103
Provider Business Practice Location Address City Name:
BLUFFTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-837-3773
Provider Business Practice Location Address Fax Number:
843-837-3233
Provider Enumeration Date:
01/28/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WHITTELSEY
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
843-837-3773

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  8614 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)