Chillag, Kim J.
Chillag, Kim J. is an individual health care provider with primary practice located at 14 Richland Medical Park Dr Suite 200, Columbia SC 29203-6877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Chillag, Kim J. can be contacted via phone (803) 296-9200.Contact Information
Primary practice address
14 Richland Medical Park Dr Suite 200
Columbia SC 29203-6877
Phone: (803) 296-9200
Fax: (803) 296-9697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 12506 | South Carolina |
Profile Details
| NPI number | 1053389908 |
|---|---|
| LBN Legal business name | Chillag, Kim J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Mar 9th, 2018 - about 6 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 | 1053389908 | NPPES |
| South Carolina | MEDICAID | 125064 |
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