Wexler, Moshe Mark Douglas

Wexler, Moshe Mark Douglas is an sole proprietor health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Wexler, Moshe Mark Douglas can be contacted via phone (843) 724-3324.

Contact Information

Primary practice address
316 Calhoun St Charleston SC 29401-1113
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1445 South Carolina

Profile Details

NPI number 1801858865
LBN Legal business name Wexler, Moshe Mark Douglas
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2006
Last updated Jun 20th, 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 1801858865 NPPES
South Carolina MEDICAID PS0633

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