| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOSHUA VISSERMAN | 1588198782 | 2017-04-13 |
Joshua Visserman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588198782. Registration indicates Joshua Visserman is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Joshua Visserman M.D. |
| Practice Office Address | 96 JONATHAN LUCAS ST # HE122 CHARLESTON, SC US |
| Practice Office Telephone | 8438769686 |
| Practice Office Fax | 8439859747 |
| Mailing Address | 96 JONATHAN LUCAS ST CSB HE122, MSC640 CHARLESTON, SC 294258900 US |
| Business Telephone | 8438769686 |
| Business Fax | 8439859747 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | 41116
SC |