Cabaltica, Rex B G

Cabaltica, Rex B G is an individual health care provider with primary practice located at 145 Sunset Ct Ste 100 , West Columbia SC 29169-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cabaltica, Rex B G can be contacted via phone (803) 739-3550.

Contact Information

Primary practice address
145 Sunset Ct Ste 100 West Columbia SC 29169-2429
Fax: (803) 739-3546
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301088640 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 92032 South Carolina

Profile Details

NPI number 1942221494
LBN Legal business name Cabaltica, Rex B G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 18th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942221494 NPPES
Michigan MEDICAID 1942221494
Michigan Other 0801111051
Michigan Other 4810199

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