Suber, Walter J

Suber, Walter J is an individual health care provider with primary practice located at 514 S Dargan St Ste F, Florence SC 29506-2552. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Suber, Walter J can be contacted via phone (843) 662-6781.

Contact Information

Primary practice address
514 S Dargan St Ste F Florence SC 29506-2552
Phone: (843) 662-6781
Fax: (843) 662-6720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 00036 South Carolina

Profile Details

NPI number 1174526461
LBN Legal business name Suber, Walter J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Dec 23rd, 2008 - about 18 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 1174526461 NPPES
South Carolina Other 480026354 R.R. MEDICARE
South Carolina MEDICAID PDO369 R.R. MEDICARE

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