Wallace, Christy Bankston
Wallace, Christy Bankston is an individual health care provider with primary practice located at 400 N Cashua Dr , Florence SC 29501-2098. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Wallace, Christy Bankston can be contacted via phone (843) 664-9393.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1087 | South Carolina |
Profile Details
| NPI number | 1356498547 |
|---|---|
| LBN Legal business name | Wallace, Christy Bankston |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jun 14th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356498547 | NPPES |
| South Carolina | MEDICAID | D10879 |
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