Wallen, Romita L
Wallen, Romita L is an individual health care provider with primary practice located at 2736 Rush Haven Dr , Mt Pleasant SC 29466-8578. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wallen, Romita L can be contacted via phone (843) 881-7477.Contact Information
Primary practice address
2736 Rush Haven Dr
Mt Pleasant SC 29466-8578
Phone: (843) 881-7477
Fax: (843) 881-7477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23719 | South Carolina |
Profile Details
| NPI number | 1356332563 |
|---|---|
| LBN Legal business name | Wallen, Romita L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Oct 1st, 2015 - about 9 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 | 1356332563 | NPPES |
| South Carolina | MEDICAID | 237194 |
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