Lystash, John C.

Lystash, John C. is an individual health care provider with primary practice located at 29 Plantation Park Dr , Bluffton SC 29910-9001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lystash, John C. can be contacted via phone (843) 706-7090.

Contact Information

Primary practice address
29 Plantation Park Dr Bluffton SC 29910-9001
Phone: (843) 706-7090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 91175 South Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101038597 Virginia

Profile Details

NPI number 1336132729
LBN Legal business name Lystash, John C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 14th, 2024 - about last year

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 1336132729 NPPES
Virginia MEDICAID 1336132729

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