Bunt, Theodore J

Bunt, Theodore J is an individual health care provider with primary practice located at 2 Medical Park Rd Suite 300, Columbia SC 29203-6808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bunt, Theodore J can be contacted via phone (803) 256-2657.

Contact Information

Primary practice address
2 Medical Park Rd Suite 300 Columbia SC 29203-6808
Phone: (803) 256-2657
Fax: (803) 255-3451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9984 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 9984 South Carolina

Profile Details

NPI number 1235195264
LBN Legal business name Bunt, Theodore J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 24th, 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 1235195264 NPPES
South Carolina MEDICAID 099841

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