Distefano, Thomas Vincent

Distefano, Thomas Vincent is an individual health care provider with primary practice located at 710 Chesterfield Hwy , Cheraw SC 29520-7001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Distefano, Thomas Vincent can be contacted via phone (843) 573-0010.

Contact Information

Primary practice address
710 Chesterfield Hwy Cheraw SC 29520-7001
Phone: (843) 573-0010
Fax: (843) 537-0009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 119582 Missouri
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 51607 South Carolina

Profile Details

NPI number 1598768830
LBN Legal business name Distefano, Thomas Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 21st, 2022 - about 3 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 1598768830 NPPES
South Carolina MEDICAID 516070

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