Mareska, Michael Charles

Mareska, Michael Charles is an individual health care provider with primary practice located at 1333 Taylor St Suite 1C, Columbia SC 29201-2923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mareska, Michael Charles can be contacted via phone (803) 254-6391.

Contact Information

Primary practice address
1333 Taylor St Suite 1C Columbia SC 29201-2923
Fax: (803) 799-0682
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101236270 Virginia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 31222 South Carolina

Profile Details

NPI number 1538130778
LBN Legal business name Mareska, Michael Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jun 13th, 2019 - about 5 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 1538130778 NPPES
South Carolina MEDICAID 312227
South Carolina MEDICAID 010074207

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