Deholl, Paul Douglas

Deholl, Paul Douglas is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Ste 200 , Columbia SC 29203-6882. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Deholl, Paul Douglas can be contacted via phone (803) 296-7846.

Contact Information

Primary practice address
14 Richland Medical Park Dr Ste 200 Columbia SC 29203-6882
Fax: (803) 296-9699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 24024 South Carolina

Profile Details

NPI number 1124029103
LBN Legal business name Deholl, Paul Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Mar 21st, 2018 - about 6 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 1124029103 NPPES
South Carolina MEDICAID T79821

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