Wilson, Stanley M.
Wilson, Stanley M. is an individual health care provider with primary practice located at 125 Doughty St Suite 660, Charleston SC 29403-5736. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Wilson, Stanley M. can be contacted via phone (843) 577-7550.Contact Information
Primary practice address
125 Doughty St Suite 660
Charleston SC 29403-5736
Phone: (843) 577-7550
Fax: (843) 853-5588
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 11046 | South Carolina |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 11046 | South Carolina |
Profile Details
NPI number | 1558328765 |
---|---|
LBN Legal business name | Wilson, Stanley M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2006 |
Last updated | Jan 28th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558328765 | NPPES |
South Carolina | MEDICAID | 110463 | |
South Carolina | Other | P00739561 | |
South Carolina | Other | P00775515 |
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