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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124090774 NPPES
South Carolina Other 28797 MEDICAL LICENSE
South Carolina MEDICAID 287978 MEDICAL LICENSE

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