Liggett, Wallace S
Liggett, Wallace S is an individual health care provider with primary practice located at 218 18Th Street Se , Hickory NC 28602-1363. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Liggett, Wallace S can be contacted via phone (704) 323-2000.Contact Information
Primary practice address
218 18Th Street Se
Hickory NC 28602-1363
Phone: (704) 323-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-01735 | North Carolina |
Profile Details
| NPI number | 1255391330 |
|---|---|
| LBN Legal business name | Liggett, Wallace S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 20th, 2016 - about 8 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 | 1255391330 | NPPES |
| South Carolina | MEDICAID | GM0561 | |
| South Carolina | Other | 0010-01735 | |
| South Carolina | Other | 970023056 |
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