Wilson, John Winkle
Wilson, John Winkle is an individual health care provider with primary practice located at 8002 Myrtle Trace Dr , Conway SC 29526-8945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wilson, John Winkle can be contacted via phone (843) 347-7227.Contact Information
Primary practice address
8002 Myrtle Trace Dr
Conway SC 29526-8945
Phone: (843) 347-7227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 3974 | South Carolina |
Profile Details
| NPI number | 1891750782 |
|---|---|
| LBN Legal business name | Wilson, John Winkle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Dec 23rd, 2010 - about 14 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 | 1891750782 | NPPES |
| South Carolina | MEDICAID | 039746 | |
| South Carolina | MEDICAID | GP4505 |
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