Dbouk, Wajdi Ali
Dbouk, Wajdi Ali is an sole proprietor health care provider with primary practice located at 3424 Clemson Blvd , Anderson SC 29621-1357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dbouk, Wajdi Ali can be contacted via phone (864) 261-4350.Contact Information
Primary practice address
3424 Clemson Blvd
Anderson SC 29621-1357
Phone: (864) 261-4350
Fax: (864) 261-4097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18923 | South Carolina |
Profile Details
| NPI number | 1023073764 |
|---|---|
| LBN Legal business name | Dbouk, Wajdi Ali |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 29th, 2022 - about 3 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 | 1023073764 | NPPES |
| South Carolina | MEDICAID | LL1282 |
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