Bethle, Joseph K

Bethle, Joseph K is an individual health care provider with primary practice located at 920 Doug White Dr Ste 130 , Myrtle Beach SC 29572-4180. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bethle, Joseph K can be contacted via phone (843) 848-1440.

Contact Information

Primary practice address
920 Doug White Dr Ste 130 Myrtle Beach SC 29572-4180
Phone: (843) 848-1440
Fax: (843) 839-1654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X A630 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 630 South Carolina

Profile Details

NPI number 1235195850
LBN Legal business name Bethle, Joseph K
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Feb 1st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235195850 NPPES
South Carolina MEDICAID QM0497

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