Crout Wingard, Linda J
Crout Wingard, Linda J is an individual health care provider with primary practice located at 2525 Kinard Street , Newberry SC 29108. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Crout Wingard, Linda J can be contacted via phone (803) 405-0220.Contact Information
Primary practice address
2525 Kinard Street
Newberry SC 29108
Phone: (803) 405-0220
Fax: (803) 405-0222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 12957 | South Carolina |
Profile Details
| NPI number | 1669432779 |
|---|---|
| LBN Legal business name | Crout Wingard, Linda J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Mar 8th, 2012 - about 13 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 | 1669432779 | NPPES |
| South Carolina | MEDICAID | GP3903 |
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