Wondracek, Sharon Emanvela

Wondracek, Sharon Emanvela is an individual health care provider with primary practice located at 200 Patewood Dr Suite B460, Greenville SC 29615-3593. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Wondracek, Sharon Emanvela can be contacted via phone (864) 454-2226.

Contact Information

Primary practice address
200 Patewood Dr Suite B460 Greenville SC 29615-3593
Phone: (864) 454-2226
Fax: (864) 454-2223
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28065 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28065 South Carolina

Profile Details

NPI number 1164522355
LBN Legal business name Wondracek, Sharon Emanvela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 24th, 2021 - about 5 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 1164522355 NPPES
South Carolina Other P00786467 RR MEDICARE
South Carolina MEDICAID 280653 RR MEDICARE

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