Suber, Walter John
Suber, Walter John is an sole proprietor health care provider with primary practice located at 2755 S Highway 14 Suite 2150, Greer SC 29650-4902. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Suber, Walter John can be contacted via phone (864) 288-8118.Contact Information
Primary practice address
2755 S Highway 14 Suite 2150
Greer SC 29650-4902
Phone: (864) 288-8118
Fax: (864) 288-8113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 21476 | South Carolina |
Profile Details
| NPI number | 1407994767 |
|---|---|
| LBN Legal business name | Suber, Walter John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Mar 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407994767 | NPPES |
| South Carolina | Other | 21476 | LICENSE |
| South Carolina | Other | 571106965 | LICENSE |
| South Carolina | MEDICAID | 214761 | LICENSE |
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