Ellett, James Wiley

Ellett, James Wiley is an individual health care provider with primary practice located at 115 N Sumter St Ste 300, Sumter SC 29150-4972. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ellett, James Wiley can be contacted via phone (803) 775-4655.

Contact Information

Primary practice address
115 N Sumter St Ste 300 Sumter SC 29150-4972
Phone: (803) 775-4655
Fax: (803) 775-7258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7442 South Carolina

Profile Details

NPI number 1639123961
LBN Legal business name Ellett, James Wiley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Oct 25th, 2016 - about 10 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 1639123961 NPPES
South Carolina MEDICAID 074421

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