Blestel, George Ambrose
Blestel, George Ambrose is an individual health care provider with primary practice located at 1690 Skylyn Dr Suite 140, Spartanburg SC 29307-1022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Blestel, George Ambrose can be contacted via phone (864) 591-1664.Contact Information
Primary practice address
1690 Skylyn Dr Suite 140
Spartanburg SC 29307-1022
Phone: (864) 591-1664
Fax: (864) 577-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 12790 | South Carolina |
Profile Details
| NPI number | 1396798716 |
|---|---|
| LBN Legal business name | Blestel, George Ambrose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Feb 2nd, 2018 - about 8 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 | 1396798716 | NPPES |
| South Carolina | MEDICAID | 127909 | |
| South Carolina | Other | P00682386 |
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