Thacker, Stephen Andrew
Thacker, Stephen Andrew is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Thacker, Stephen Andrew can be contacted via phone (843) 792-1414.Contact Information
Primary practice address
171 Ashley Ave
Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 069980 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 87514 | South Carolina |
Profile Details
| NPI number | 1740473289 |
|---|---|
| LBN Legal business name | Thacker, Stephen Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2007 |
| Last updated | Aug 4th, 2022 - about 3 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 | 1740473289 | NPPES |
| Georgia | Other | P01198991 | RAILROAD MEDICARE |
| Georgia | MEDICAID | GA1606 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 003135051A | RAILROAD MEDICARE |
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