Deholl, John David
Deholl, John David is an individual health care provider with primary practice located at 112 Montgomery Dr , Anderson SC 29621-3334. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Deholl, John David can be contacted via phone (864) 276-0056.Contact Information
Primary practice address
112 Montgomery Dr
Anderson SC 29621-3334
Phone: (864) 276-0056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7562 | South Carolina |
Profile Details
| NPI number | 1841209509 |
|---|---|
| LBN Legal business name | Deholl, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Apr 27th, 2010 - about 16 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 | 1841209509 | NPPES |
| South Carolina | MEDICAID | 075625 |
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