Lustig, Matthew Chase

Lustig, Matthew Chase is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 110 , Columbia SC 29203-6859. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities is his primary health care specialty. Lustig, Matthew Chase can be contacted via phone (803) 434-7951.

Contact Information

Primary practice address
9 Richland Medical Park Dr Ste 110 Columbia SC 29203-6859
Phone: (803) 434-7951
Fax: (803) 758-0134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 87712 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1679006746
LBN Legal business name Lustig, Matthew Chase
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Jun 7th, 2022 - 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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