Stafford, Warren Keith
Stafford, Warren Keith is an sole proprietor health care provider with primary practice located at 206A S Main St , Greer SC 29650-2127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stafford, Warren Keith can be contacted via phone (864) 989-0230.Contact Information
Primary practice address
206A S Main St
Greer SC 29650-2127
Phone: (864) 989-0230
Fax: (864) 334-1880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23690 | South Carolina |
Profile Details
| NPI number | 1992780878 |
|---|---|
| LBN Legal business name | Stafford, Warren Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Dec 6th, 2011 - about 13 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 | 1992780878 | NPPES |
| South Carolina | MEDICAID | 236907 |
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