Wells, John A

Wells, John A is an individual health care provider with primary practice located at 124 Sunset Court , West Columbia SC 29169. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Wells, John A can be contacted via phone (803) 931-0077.

Contact Information

Primary practice address
124 Sunset Court West Columbia SC 29169
Fax: (803) 931-0076
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15565 South Carolina
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 15565 South Carolina

Profile Details

NPI number 1841289154
LBN Legal business name Wells, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Apr 3rd, 2017 - about 7 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 1841289154 NPPES
South Carolina MEDICAID GP0623

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