Tebalt, Michael Joseph
Tebalt, Michael Joseph is an individual health care provider with primary practice located at 298 Memorial Dr , Seneca SC 29672-9443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tebalt, Michael Joseph can be contacted via phone (864) 885-7532.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25822 | South Carolina |
Profile Details
| NPI number | 1508968934 |
|---|---|
| LBN Legal business name | Tebalt, Michael Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jun 25th, 2015 - about 10 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 | 1508968934 | NPPES |
| South Carolina | MEDICAID | 258223 | |
| South Carolina | MEDICAID | GP2991 |
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