Blitch, Edwin Leo

Blitch, Edwin Leo is an individual health care provider with primary practice located at 9313 Medical Plaza Dr 301, Charleston SC 29406-9155. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Blitch, Edwin Leo can be contacted via phone (843) 553-2909.

Contact Information

Primary practice address
9313 Medical Plaza Dr 301 Charleston SC 29406-9155
Phone: (843) 553-2909
Fax: (843) 553-4684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 134 South Carolina

Profile Details

NPI number 1376518795
LBN Legal business name Blitch, Edwin Leo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated Jul 9th, 2007 - about 17 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 1376518795 NPPES
South Carolina MEDICAID PD1340

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