Cundiff, Nicholas Matthew
Cundiff, Nicholas Matthew is an individual health care provider with primary practice located at 457 Spruce St , Walterboro SC 29488-2766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cundiff, Nicholas Matthew can be contacted via phone (843) 781-7428.Contact Information
Primary practice address
457 Spruce St
Walterboro SC 29488-2766
Phone: (843) 781-7428
Fax: (843) 781-7429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41060 | South Carolina |
Profile Details
| NPI number | 1720518384 |
|---|---|
| LBN Legal business name | Cundiff, Nicholas Matthew |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2017 |
| Last updated | May 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720518384 | NPPES |
| South Carolina | MEDICAID | 910759 |
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