Willard, Charles Eugene
Willard, Charles Eugene is an sole proprietor health care provider with primary practice located at 27 E Main St , Ware Shoals SC 29692-1338. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Willard, Charles Eugene can be contacted via phone (864) 456-2521.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2843 | South Carolina |
Profile Details
| NPI number | 1215094230 |
|---|---|
| LBN Legal business name | Willard, Charles Eugene |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215094230 | NPPES |
| South Carolina | MEDICAID | Z28435 |
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