Jennifer Rish

Individual provider Active NPI Other Specialist/Technologist · Irmo, SC

NPI 1245773134 · NPPES record last updated Nov 23, 2016

Key facts

NPI
1245773134
Entity type
Individual (NPI type 1)
Primary specialty
Other Specialist/Technologist 246Z00000X
Practice address
7921 Broad River Rd
Suite 200
Irmo, SC 29063-2358
Phone
(803) 749-8585
Fax
(803) 749-8909
NPI assigned
Nov 23, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Therapies, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X Yes

Addresses

Primary practice location

7921 Broad River Rd
Suite 200
Irmo, SC 29063-2358

Mailing address

7921 Broad River Rd
Suite 200
Irmo, SC 29063-2358
Phone (803) 749-8585

Other providers in Irmo, SC

All providers in Irmo, SC · Other Specialist/Technologist in South Carolina

Sources for this page

Verify at the official NPI Registry.