Luberoff, Susan B
Luberoff, Susan B is an individual health care provider with primary practice located at 3710 Landmark Drive Suite 300, Columbia SC 29204-4034. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is her primary health care specialty. Luberoff, Susan B can be contacted via phone (803) 898-1470.Contact Information
Primary practice address
3710 Landmark Drive Suite 300
Columbia SC 29204-4034
Phone: (803) 898-1470
Fax: (803) 898-1471
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12414 | South Carolina |
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics | 2080C0008X | 12414 | South Carolina |
Profile Details
NPI number | 1548299191 |
---|---|
LBN Legal business name | Luberoff, Susan B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Mar 23rd, 2018 - about 7 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 | 1548299191 | NPPES |
South Carolina | MEDICAID | 124145 |
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