Stadalsky, John Scott

Stadalsky, John Scott is an individual health care provider with primary practice located at 105 Springhall Dr , Goose Creek SC 29445-5370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Stadalsky, John Scott can be contacted via phone (843) 766-6308.

Contact Information

Primary practice address
105 Springhall Dr Goose Creek SC 29445-5370
Phone: (843) 766-6308
Fax: (866) 533-4473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24015 South Carolina

Profile Details

NPI number 1699720250
LBN Legal business name Stadalsky, John Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Dec 20th, 2019 - about 6 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 1699720250 NPPES
South Carolina MEDICAID T83086
South Carolina Other 571020809007
South Carolina Other 571020809042

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