Wooster, Mathew David
Wooster, Mathew David is an individual health care provider with primary practice located at 2728 Sunset Blvd Ste 400 , West Columbia SC 29169-4872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wooster, Mathew David can be contacted via phone (803) 936-7095.Contact Information
Primary practice address
2728 Sunset Blvd Ste 400
West Columbia SC 29169-4872
Phone: (803) 936-7095
Fax: (803) 936-7908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 40558 | South Carolina |
Profile Details
| NPI number | 1336415454 |
|---|---|
| LBN Legal business name | Wooster, Mathew David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2012 |
| Last updated | Sep 16th, 2025 - about last year |
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 | 1336415454 | NPPES |
| South Carolina | MEDICAID | 405582 |
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