Poole, Edgar Morgan

Poole, Edgar Morgan is an individual health care provider with primary practice located at 705 E Main St , Spartanburg SC 29302-1281. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Poole, Edgar Morgan can be contacted via phone (864) 585-3281.

Contact Information

Primary practice address
705 E Main St Spartanburg SC 29302-1281
Phone: (864) 585-3281
Fax: (864) 585-2255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SC0539 South Carolina
Eye and Vision Services Providers / Optometrist 152W00000X 539 South Carolina

Profile Details

NPI number 1770580755
LBN Legal business name Poole, Edgar Morgan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 29th, 2018 - about 6 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 1770580755 NPPES
South Carolina MEDICAID D05395

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