Wyland, Douglas John
Wyland, Douglas John is an individual health care provider with primary practice located at 333 S Pine St , Spartanburg SC 29302-2622. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Wyland, Douglas John can be contacted via phone (864) 515-7500.Contact Information
Primary practice address
333 S Pine St
Spartanburg SC 29302-2622
Phone: (864) 515-7500
Fax: (864) 515-7501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 28429 | South Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 28429 | South Carolina |
Profile Details
NPI number | 1699771121 |
---|---|
LBN Legal business name | Wyland, Douglas John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Nov 10th, 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 | 1699771121 | NPPES |
South Carolina | MEDICAID | 284294 | |
South Carolina | Other | P00354702 |
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