Varner, Ethan Wall
Varner, Ethan Wall is an individual health care provider with primary practice located at 2067 Charlie Hall Blvd , Charleston SC 29414-5834. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Varner, Ethan Wall can be contacted via phone (843) 573-2535.Contact Information
Primary practice address
2067 Charlie Hall Blvd
Charleston SC 29414-5834
Phone: (843) 573-2535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 89369 | South Carolina |
Profile Details
| NPI number | 1396248357 |
|---|---|
| LBN Legal business name | Varner, Ethan Wall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2018 |
| Last updated | Apr 24th, 2023 - 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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