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
Fax: (864) 261-4097
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023073764 NPPES
South Carolina MEDICAID LL1282

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