Sustek, Walter A
Sustek, Walter A is an individual health care provider with primary practice located at 3004 North Main Street , Anderson SC 29621. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sustek, Walter A can be contacted via phone (864) 224-8106.Contact Information
Primary practice address
3004 North Main Street
Anderson SC 29621
Phone: (864) 224-8106
Fax: (864) 261-3429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2444 | South Carolina |
Profile Details
| NPI number | 1760585764 |
|---|---|
| LBN Legal business name | Sustek, Walter A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760585764 | NPPES |
| South Carolina | MEDICAID | ZZ2444 |
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