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Contact Information

JOSEPH K BETHLE, PAC
920 DOUG WHITE DR STE 130
MYRTLE BEACH, SC29572-4180
 Phone: 843-848-1440
 Fax: 843-839-1654
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOSEPH K BETHLE · (Male)

NPI Number 1235195850
Status Active
Credentials PAC
Entity Individual
Enumeration date 04/22/2006
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 630
  • SC License # A630
  • SC Medicaid QM0497
Hospital affiliation(s)
  • LORIS COMMUNITY HOSPITAL - (Acute Care)
    3655 MITCHELL STREET
    LORIS, SC 29569
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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