Wactor, Veronica S.

Wactor, Veronica S. is an individual health care provider with primary practice located at 2401 Sunset Blvd , West Columbia SC 29169-4717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wactor, Veronica S. can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
2401 Sunset Blvd West Columbia SC 29169-4717
Fax: (401) 652-9787
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4023 South Carolina

Profile Details

NPI number 1417286949
LBN Legal business name Wactor, Veronica S.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2009
Last updated Jul 12th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417286949 NPPES
South Carolina Other AA46545925 MEDICARE PTAN

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