Lally, Joseph M

Lally, Joseph M is an individual health care provider with primary practice located at 125 Doughty St Ste 330, Charleston SC 29403-5736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lally, Joseph M can be contacted via phone (843) 722-7705.

Contact Information

Primary practice address
125 Doughty St Ste 330 Charleston SC 29403-5736
Fax: (843) 722-7149
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16001 South Carolina

Profile Details

NPI number 1891770962
LBN Legal business name Lally, Joseph M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 25th, 2020 - about 4 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 1891770962 NPPES
South Carolina MEDICAID 160015

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