Wise, Ronald S

Wise, Ronald S is an individual health care provider with primary practice located at 1055 Ribaut Rd Ste 30, Beaufort SC 29902-5447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wise, Ronald S can be contacted via phone (843) 524-8171.

Contact Information

Primary practice address
1055 Ribaut Rd Ste 30 Beaufort SC 29902-5447
Phone: (843) 524-8171
Fax: (843) 525-6613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4722 South Carolina

Profile Details

NPI number 1811960214
LBN Legal business name Wise, Ronald S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 18th, 2010 - about 16 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 1811960214 NPPES
South Carolina Other 020047288 RAILROAD MEDICARE
South Carolina MEDICAID 047229 RAILROAD MEDICARE

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