Ettaleah Bluestein M.D.

LBN: Ettaleah Bluestein M.D.
Ettaleah Bluestein M.D. is an health care organization with primary practice located at 2287 Henry Tecklenburg Dr Suite 1, Charleston SC 29414-7801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Ettaleah Bluestein M.D. can be contacted via phone (843) 769-6655, or through Bluestein, Ettaleah via phone (843) 769-6655.

Contact Information

Primary practice address
2287 Henry Tecklenburg Dr Suite 1 Charleston SC 29414-7801
Phone: (843) 769-6655
Fax: (843) 769-6866
Website:
Map and Directions
Authorized official contact:
Name: Bluestein, Ettaleah Doctor of Medicine (MD)
Phone: (843) 769-6655

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 15521 South Carolina

Profile Details

NPI number 1720030836
LBN Legal business name Ettaleah Bluestein M.D.
DBA Doing business as
Authorized official Bluestein, Ettaleah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Mar 4th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720030836 NPPES
South Carolina MEDICAID GP4400

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