Kotz, Edward A.

Kotz, Edward A. is an individual health care provider with primary practice located at 933 Saint Andrews Blvd. , Charleston SC 29407. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Kotz, Edward A. can be contacted via phone (843) 766-9868.

Contact Information

Primary practice address
933 Saint Andrews Blvd. Charleston SC 29407
Phone: (843) 766-9868
Fax: (843) 571-4925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 24039 South Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24039 South Carolina

Profile Details

NPI number 1063483428
LBN Legal business name Kotz, Edward A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jan 5th, 2011 - about 15 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 1063483428 NPPES
South Carolina MEDICAID 240395

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