Pardieck, David Anthony

Pardieck, David Anthony is an individual health care provider with primary practice located at 9229 University Blvd Ste D , North Charleston SC 29406-9150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pardieck, David Anthony can be contacted via phone (843) 572-4376.

Contact Information

Primary practice address
9229 University Blvd Ste D North Charleston SC 29406-9150
Fax: (843) 572-9285
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6422 South Carolina

Profile Details

NPI number 1992813265
LBN Legal business name Pardieck, David Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1992813265 NPPES
South Carolina MEDICAID 064227

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