Wendt, John R

Wendt, John R is an individual health care provider with primary practice located at 100 Healthy Way Ste 1250 , Anderson SC 29621-7917. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wendt, John R can be contacted via phone (864) 512-6927.

Contact Information

Primary practice address
100 Healthy Way Ste 1250 Anderson SC 29621-7917
Fax: (864) 512-6687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20775 South Carolina
Other Service Providers / Specialist 174400000X South Carolina

Profile Details

NPI number 1851377816
LBN Legal business name Wendt, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Dec 1st, 2022 - 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 1851377816 NPPES
South Carolina MEDICAID 207751
South Carolina Other P00972028

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