1801142567 NPI number — JENNIFER BERWICK PROFESSIONAL CORPORATION

Table of content: (NPI 1801142567)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801142567 NPI number — JENNIFER BERWICK PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JENNIFER BERWICK PROFESSIONAL CORPORATION
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:
CHARLESTON FAMILY ORTHODONTICS
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:
1801142567
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
376 SUMTER ST APT A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLESTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29403-4902
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-571-5533
Provider Business Mailing Address Fax Number:
843-571-5534

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
712 SAINT ANDREWS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29407-7141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-571-5533
Provider Business Practice Location Address Fax Number:
843-571-5534
Provider Enumeration Date:
07/31/2012

Additional Information

Authorized Official

Authorized Official Last Name:
BERWICK
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
BALLANTYNE
Authorized Official Title or Position:
ORTHODONTIST
Authorized Official Telephone Number:
843-571-5533

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  4396 , 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)





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