Nellis, Joseph A.

Nellis, Joseph A. is an individual health care provider with primary practice located at Nhcc Mhp 110 Nnptc Cir, Goose Creek SC 29445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nellis, Joseph A. can be contacted via phone (843) 794-6221.

Contact Information

Primary practice address
Nhcc Mhp 110 Nnptc Cir Goose Creek SC 29445
Phone: (843) 794-6221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005-01499 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 82258 South Carolina

Profile Details

NPI number 1053382093
LBN Legal business name Nellis, Joseph A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jun 7th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053382093 NPPES
South Carolina MEDICAID 822587

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