Chappell, Walter Ronald
Chappell, Walter Ronald is an individual health care provider with primary practice located at 595 W Wesmark Blvd , Sumter SC 29150-1969. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chappell, Walter Ronald can be contacted via phone (803) 469-4028.Contact Information
Primary practice address
595 W Wesmark Blvd
Sumter SC 29150-1969
Phone: (803) 469-4028
Fax: (803) 469-2663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 1017944 | South Carolina |
Profile Details
| NPI number | 1770776270 |
|---|---|
| LBN Legal business name | Chappell, Walter Ronald |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Aug 20th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770776270 | NPPES |
| South Carolina | MEDICAID | GP1226 |
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