Story, John Walter
Story, John Walter is an sole proprietor health care provider with primary practice located at 209 S Wylie St , Lancaster SC 29720-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Story, John Walter can be contacted via phone (803) 285-7400.Contact Information
Primary practice address
209 S Wylie St
Lancaster SC 29720-2353
Phone: (803) 285-7400
Fax: (803) 285-7554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 10512 | South Carolina |
Profile Details
| NPI number | 1104823384 |
|---|---|
| LBN Legal business name | Story, John Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2005 |
| Last updated | Feb 9th, 2012 - about 12 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 | 1104823384 | NPPES |
| South Carolina | MEDICAID | GP1986 |
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