Bauknight, Gerald Conrad
Bauknight, Gerald Conrad is an individual health care provider with primary practice located at 1655 Bernardin Ave Ste 220 , Columbia SC 29204-2044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bauknight, Gerald Conrad can be contacted via phone (803) 409-7170.Contact Information
Primary practice address
1655 Bernardin Ave Ste 220
Columbia SC 29204-2044
Phone: (803) 409-7170
Fax: (803) 409-7175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 17604 | South Carolina |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 17604 | South Carolina |
Profile Details
| NPI number | 1144279084 |
|---|---|
| LBN Legal business name | Bauknight, Gerald Conrad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144279084 | NPPES |
| South Carolina | MEDICAID | 176044 | |
| South Carolina | Other | 17604 |
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