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
Phone: (803) 296-7846
Fax: (803) 296-9699
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124029103 | NPPES |
South Carolina | MEDICAID | T79821 |
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