Sulton, Thelisa Y
Sulton, Thelisa Y is an sole proprietor health care provider with primary practice located at 201 Columbia Mall Blvd Ste 189 , Columbia SC 29223-7550. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, Suppliers / Customized Equipment, Eye and Vision Services Providers / Technician/Technologist. Eye and Vision Services Providers / Technician/Technologist is her primary health care specialty. Sulton, Thelisa Y can be contacted via phone (803) 602-5570.Contact Information
Primary practice address
201 Columbia Mall Blvd Ste 189
Columbia SC 29223-7550
Phone: (803) 602-5570
Fax: (888) 958-0279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | 2018-46169-45207 | South Carolina |
| Suppliers / Customized Equipment | 332BC3200X | 2018-46169-45207 | South Carolina |
| Eye and Vision Services Providers / Technician/Technologist | 156F00000X | 2018-46169-45207 | South Carolina |
Profile Details
| NPI number | 1851888978 |
|---|---|
| LBN Legal business name | Sulton, Thelisa Y |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2018 |
| Last updated | Feb 2nd, 2020 - 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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