Despradel, Vidal M
Despradel, Vidal M is an individual health care provider with primary practice located at 2000 E Greenville St Suite 5140, Anderson SC 29621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Despradel, Vidal M can be contacted via phone (864) 716-6100.Contact Information
Primary practice address
2000 E Greenville St Suite 5140
Anderson SC 29621
Phone: (864) 716-6100
Fax: (864) 716-6120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0101058950 | Virginia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 29560 | South Carolina |
Profile Details
| NPI number | 1689632697 |
|---|---|
| LBN Legal business name | Despradel, Vidal M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Sep 22nd, 2015 - about 9 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 | 1689632697 | NPPES |
| South Carolina | Other | P01121076 | RR MEDICARE |
| South Carolina | MEDICAID | 295601 | RR MEDICARE |
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