Worsham, Stephen Thomas
Worsham, Stephen Thomas is an individual health care provider with primary practice located at 3800 Faber Place Dr , N Charleston SC 29405-8532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Worsham, Stephen Thomas can be contacted via phone (843) 747-4647.Contact Information
Primary practice address
3800 Faber Place Dr
N Charleston SC 29405-8532
Phone: (843) 747-4647
Fax: (843) 747-0969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14886 | South Carolina |
Profile Details
| NPI number | 1134187891 |
|---|---|
| LBN Legal business name | Worsham, Stephen Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Oct 20th, 2015 - about 10 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 | 1134187891 | NPPES |
| South Carolina | Other | 571020809045 | TRICARE |
| South Carolina | Other | 571020809042 | TRICARE |
| South Carolina | MEDICAID | TL2170 | TRICARE |
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