Hubbard, Charles Rast

Hubbard, Charles Rast is an individual health care provider with primary practice located at 1519 Marion St , Columbia SC 29201-2910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hubbard, Charles Rast can be contacted via phone (803) 296-5954.

Contact Information

Primary practice address
1519 Marion St Columbia SC 29201-2910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 11963 South Carolina

Profile Details

NPI number 1417905654
LBN Legal business name Hubbard, Charles Rast
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 16th, 2020 - about 4 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 1417905654 NPPES
South Carolina MEDICAID 119632

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