Faircloth, William Joseph
Faircloth, William Joseph is an individual health care provider with primary practice located at 240 Hospital Dr Ne , Bolivia NC 28422-8346. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Faircloth, William Joseph can be contacted via phone (910) 755-1004.Contact Information
Primary practice address
240 Hospital Dr Ne
Bolivia NC 28422-8346
Phone: (910) 755-1004
Fax: (910) 755-1474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9500344 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 9500344 | North Carolina |
Profile Details
| NPI number | 1649311457 |
|---|---|
| LBN Legal business name | Faircloth, William Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Oct 25th, 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 | 1649311457 | NPPES |
| South Carolina | MEDICAID | N00346 | |
| South Carolina | MEDICAID | 890282V | |
| South Carolina | MEDICAID | 891117J |
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