Luberoff, Douglas E

Luberoff, Douglas E is an individual health care provider with primary practice located at 3240 Sunset Blvd , West Columbia SC 29169-3428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Luberoff, Douglas E can be contacted via phone (803) 808-0523.

Contact Information

Primary practice address
3240 Sunset Blvd West Columbia SC 29169-3428
Phone: (803) 808-0523
Fax: (803) 794-6503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9453 South Carolina

Profile Details

NPI number 1700840030
LBN Legal business name Luberoff, Douglas E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 6th, 2019 - about 7 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 1700840030 NPPES
South Carolina MEDICAID 094533

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