Esthetiques LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ESTHETIQUES LLC

Practice address

908 W Evans St
Florence, SC 29501-3442

Phone

(843) 667-8698

Fax

(843) 667-8698

NPI assigned

Oct 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela Jett, RN

Title

Administrator

Phone

(843) 667-8698

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255429908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1570",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295031570",
            "telephone_number": "843-667-8698",
            "fax_number": "843-667-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013442",
            "telephone_number": "843-667-8698",
            "fax_number": "843-667-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHETIQUES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "843-667-8698",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DF2765",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andres De Jesus Escobar Camargo, M.D.
• Nanaefua Akambreku Eshun
• Especially for Her, LLC
• David Ismael Estephan, M.D.
• John Esteves, OT
• Eugene'S Saving Grace Homecare, LLC
• Martin F Evaldi, MD
• Brian Randall Evans, MD
• Cedric Jevon Evans I, MA
• Christy H Evans, ANP

• Durable Medical Equipment & Medical Supplies in Florence, SC
• Providers in Florence, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.