Stone, Joshua Tyler
Stone, Joshua Tyler is an individual health care provider with primary practice located at 100 Healthy Way Ste 1200 , Anderson SC 29621-7916. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Stone, Joshua Tyler can be contacted via phone (864) 716-6140.Contact Information
Primary practice address
100 Healthy Way Ste 1200
Anderson SC 29621-7916
Phone: (864) 716-6140
Fax: (864) 716-6149
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | LL36698 | South Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 36698 | South Carolina |
Profile Details
NPI number | 1700290814 |
---|---|
LBN Legal business name | Stone, Joshua Tyler |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 17th, 2014 |
Last updated | Oct 28th, 2020 - about 5 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 | 1700290814 | NPPES |
South Carolina | MEDICAID | 366982 |
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