Liang, Cassie Lai Ku

Liang, Cassie Lai Ku is an individual health care provider with primary practice located at 12 W South St , Manning SC 29102-2925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Liang, Cassie Lai Ku can be contacted via phone (803) 433-4321.

Contact Information

Primary practice address
12 W South St Manning SC 29102-2925
Phone: (803) 433-4321
Fax: (803) 433-0075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30140 South Carolina

Profile Details

NPI number 1447221940
LBN Legal business name Liang, Cassie Lai Ku
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Mar 7th, 2023 - about 2 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 1447221940 NPPES
South Carolina MEDICAID 301408
South Carolina Other 30140
South Carolina Other AA21187566

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