Engelthaler, Matthew

Engelthaler, Matthew is an individual health care provider with primary practice located at 1730 Saint Julian Pl , Columbia SC 29204-2410. 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. Engelthaler, Matthew can be contacted via phone (803) 256-6776.

Contact Information

Primary practice address
1730 Saint Julian Pl Columbia SC 29204-2410
Phone: (803) 256-6776
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 679 South Carolina

Profile Details

NPI number 1356791735
LBN Legal business name Engelthaler, Matthew
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Apr 6th, 2020 - about 5 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 1356791735 NPPES
South Carolina MEDICAID PD6791

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