Wiss, Joan M
Wiss, Joan M is an individual health care provider with primary practice located at 917 Medical Circle , Myrtle Beach SC 29572. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Wiss, Joan M can be contacted via phone (843) 449-0453.Contact Information
Primary practice address
917 Medical Circle
Myrtle Beach SC 29572
Phone: (843) 449-0453
Fax: (843) 282-1910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 18560 | South Carolina |
Profile Details
| NPI number | 1093759755 |
|---|---|
| LBN Legal business name | Wiss, Joan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 22nd, 2022 - about 2 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 | 1093759755 | NPPES |
| South Carolina | MEDICAID | 185604 |
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