Whittenberg, Charles W

Whittenberg, Charles W is an individual health care provider with primary practice located at 408 Se Main St , Simpsonville SC 29681. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whittenberg, Charles W can be contacted via phone (864) 228-8010.

Contact Information

Primary practice address
408 Se Main St Simpsonville SC 29681
Phone: (864) 228-8010
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8964 South Carolina

Profile Details

NPI number 1760495188
LBN Legal business name Whittenberg, Charles W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1760495188 NPPES
South Carolina MEDICAID GP2981

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