Dantzler, Brian Samuel

Dantzler, Brian Samuel is an individual health care provider with primary practice located at 46 Markfield Dr Suite A, Charleston SC 29407-6982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Dantzler, Brian Samuel can be contacted via phone (843) 556-7048.

Contact Information

Primary practice address
46 Markfield Dr Suite A Charleston SC 29407-6982
Phone: (843) 556-7048
Fax: (843) 556-2938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 007053 South Carolina

Profile Details

NPI number 1861438699
LBN Legal business name Dantzler, Brian Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Nov 16th, 2015 - about 11 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 1861438699 NPPES
South Carolina Other 070531 UNITED HEALTH CARE
South Carolina MEDICAID 070531 UNITED HEALTH CARE
South Carolina Other 189320 UNITED HEALTH CARE
South Carolina Other B922437953 UNITED HEALTH CARE
South Carolina Other B922435238 UNITED HEALTH CARE

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