Kalutz, Theodore Eugene
Kalutz, Theodore Eugene is an individual health care provider with primary practice located at 1346 Haile Street , Camden SC 29020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kalutz, Theodore Eugene can be contacted via phone (803) 432-1931.Contact Information
Primary practice address
1346 Haile Street
Camden SC 29020
Phone: (803) 432-1931
Fax: (803) 432-1176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 8535 | South Carolina |
Profile Details
| NPI number | 1558334672 |
|---|---|
| LBN Legal business name | Kalutz, Theodore Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jan 25th, 2013 - about 11 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 | 1558334672 | NPPES |
| South Carolina | MEDICAID | 085357 |
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