Kucaba, Walter Dean

Kucaba, Walter Dean is an individual health care provider with primary practice located at 1575 E Main St , Duncan SC 29334-9218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kucaba, Walter Dean can be contacted via phone (864) 560-3500.

Contact Information

Primary practice address
1575 E Main St Duncan SC 29334-9218
Phone: (864) 560-3500
Fax: (864) 560-3522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0608 South Carolina

Profile Details

NPI number 1881787802
LBN Legal business name Kucaba, Walter Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Feb 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881787802 NPPES
South Carolina Other 216950 MEDCOST
South Carolina Other 7132885 MEDCOST
South Carolina MEDICAID 006086 MEDCOST

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