Kellogg, William Scott

Kellogg, William Scott is an sole proprietor health care provider with primary practice located at 1105 N Lafayette Dr Suite A, Sumter SC 29150-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kellogg, William Scott can be contacted via phone (803) 934-8833.

Contact Information

Primary practice address
1105 N Lafayette Dr Suite A Sumter SC 29150-2913
Fax: (803) 934-0787
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 17231 South Carolina

Profile Details

NPI number 1265490643
LBN Legal business name Kellogg, William Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Nov 3rd, 2014 - about 11 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 1265490643 NPPES
South Carolina Other 57-1111938 TAX ID
South Carolina Other G2590566528 TAX ID
South Carolina MEDICAID 172315 TAX ID

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