Dach, Brian Wayne

Dach, Brian Wayne is an individual health care provider with primary practice located at 727 Se Main St Ste 130 , Simpsonville SC 29681-3266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dach, Brian Wayne can be contacted via phone (864) 454-6560.

Contact Information

Primary practice address
727 Se Main St Ste 130 Simpsonville SC 29681-3266
Phone: (864) 454-6560
Fax: (864) 454-6565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 747 South Carolina

Profile Details

NPI number 1003855578
LBN Legal business name Dach, Brian Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 17th, 2018 - about 7 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 1003855578 NPPES
South Carolina Other P00322763 RR MEDICARE
South Carolina MEDICAID 007478 RR MEDICARE
South Carolina Other 576007863132 RR MEDICARE
South Carolina Other 576007863173 RR MEDICARE

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