Tolan, Stefan John

Tolan, Stefan John is an individual health care provider with primary practice located at 200 Patewood Dr Suite C100, Greenville SC 29615-3593. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Tolan, Stefan John can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
200 Patewood Dr Suite C100 Greenville SC 29615-3593
Phone: (864) 454-7422
Fax: (864) 454-8265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16789 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 16789 South Carolina

Profile Details

NPI number 1770695348
LBN Legal business name Tolan, Stefan John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 10th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770695348 NPPES
South Carolina Other 576007863133 BLUE CHOICE OF SC
South Carolina MEDICAID 167893 BLUE CHOICE OF SC
South Carolina Other P00384026 BLUE CHOICE OF SC
South Carolina Other 576007863178 BLUE CHOICE OF SC

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