Douglass, Walter James
Douglass, Walter James is an individual health care provider with primary practice located at 853 N Church St Suite 620, Spartanburg SC 29303-3098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Douglass, Walter James can be contacted via phone (864) 560-1674.Contact Information
Primary practice address
853 N Church St Suite 620
Spartanburg SC 29303-3098
Phone: (864) 560-1674
Fax: (864) 560-1690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 7751 | South Carolina |
Profile Details
| NPI number | 1962473777 |
|---|---|
| LBN Legal business name | Douglass, Walter James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Dec 23rd, 2020 - about 5 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 | 1962473777 | NPPES |
| South Carolina | MEDICAID | 077561 | |
| South Carolina | Other | 4226842 | |
| South Carolina | MEDICAID | 890545G | |
| South Carolina | Other | 23151 |
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