Gambla, Kurt Michael
Gambla, Kurt Michael is an individual health care provider with primary practice located at 989 Ribaut Rd Suite 260, Beaufort SC 29902-5472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gambla, Kurt Michael can be contacted via phone (843) 522-7600.Contact Information
Primary practice address
989 Ribaut Rd Suite 260
Beaufort SC 29902-5472
Phone: (843) 522-7600
Fax: (843) 522-7612
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 000267 | South Carolina |
Profile Details
NPI number | 1982699591 |
---|---|
LBN Legal business name | Gambla, Kurt Michael |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2005 |
Last updated | Dec 4th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982699591 | NPPES |
South Carolina | MEDICAID | 002678 |
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