Austelle, Wally T.
Austelle, Wally T. is an individual health care provider with primary practice located at 839 Wappoo Rd , Charleston SC 29407. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Austelle, Wally T. can be contacted via phone (843) 556-4746.Contact Information
Primary practice address
839 Wappoo Rd
Charleston SC 29407
Phone: (843) 556-4746
Fax: (843) 556-5435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2473 | South Carolina |
Profile Details
| NPI number | 1124302773 |
|---|---|
| LBN Legal business name | Austelle, Wally T. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2011 |
| Last updated | Sep 30th, 2011 - about 15 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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