Austelle, Christopher Wallace

Austelle, Christopher Wallace is an individual health care provider with primary practice located at 169 Ashley Ave Rm 202 , Charleston SC 29425-8905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Austelle, Christopher Wallace can be contacted via phone (843) 792-7365.

Contact Information

Primary practice address
169 Ashley Ave Rm 202 Charleston SC 29425-8905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X LL82609 South Carolina

Profile Details

NPI number 1689232886
LBN Legal business name Austelle, Christopher Wallace
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2019
Last updated Jun 3rd, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689232886 NPPES
South Carolina Other LL82609 SC BOARD OF MEDICAL EXAMINERS

Popular Providers