Welborn, Michael Keasler
Welborn, Michael Keasler is an individual health care provider with primary practice located at 115 Brushy Creek Rd , Easley SC 29642-1120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Welborn, Michael Keasler can be contacted via phone (864) 635-0376.Contact Information
Primary practice address
115 Brushy Creek Rd
Easley SC 29642-1120
Phone: (864) 635-0376
Fax: (864) 442-6848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5415 | South Carolina |
Profile Details
| NPI number | 1639120439 |
|---|---|
| LBN Legal business name | Welborn, Michael Keasler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Oct 13th, 2021 - about 4 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 | 1639120439 | NPPES |
| South Carolina | Other | 582296052-055 | BLUE CROSS |
| South Carolina | MEDICAID | 054158 | BLUE CROSS |
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