Peltz, Eric Stephen

Peltz, Eric Stephen is an individual health care provider with primary practice located at 4 Okatie Center Blvd. S. Suite 201, Okatie SC 29909-7507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Peltz, Eric Stephen can be contacted via phone (843) 706-3206.

Contact Information

Primary practice address
4 Okatie Center Blvd. S. Suite 201 Okatie SC 29909-7507
Phone: (843) 706-3206
Fax: (843) 706-3226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X SC27029 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27029 South Carolina

Profile Details

NPI number 1407051550
LBN Legal business name Peltz, Eric Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Feb 7th, 2012 - about 12 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 1407051550 NPPES
South Carolina MEDICAID 27029
South Carolina MEDICAID 3466

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