Conwell, Wesley S
Conwell, Wesley S is an individual health care provider with primary practice located at 1519 Marion St , Columbia SC 29220-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Conwell, Wesley S can be contacted via phone (803) 296-5513.Contact Information
Primary practice address
1519 Marion St
Columbia SC 29220-2910
Phone: (803) 296-5513
Fax: (803) 296-3076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 28797 | South Carolina |
Profile Details
| NPI number | 1124090774 |
|---|---|
| LBN Legal business name | Conwell, Wesley S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jan 20th, 2016 - about 10 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 | 1124090774 | NPPES |
| South Carolina | Other | 28797 | MEDICAL LICENSE |
| South Carolina | MEDICAID | 287978 | MEDICAL LICENSE |
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