Declerck, Paul
Declerck, Paul is an individual health care provider with primary practice located at 800 Pelham Rd , Greenville SC 29615-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Declerck, Paul can be contacted via phone (864) 234-5800.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 26803 | South Carolina |
Profile Details
NPI number | 1558321273 |
---|---|
LBN Legal business name | Declerck, Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 25th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1558321273 | NPPES |
South Carolina | MEDICAID | 268034 |
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