Puchalski, Robert

Puchalski, Robert is an individual health care provider with primary practice located at 15 Exchange Dr , Lugoff SC 29078-9198. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Puchalski, Robert can be contacted via phone (803) 408-3277.

Contact Information

Primary practice address
15 Exchange Dr Lugoff SC 29078-9198
Phone: (803) 408-3277
Fax: (803) 408-3299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 23048 South Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X 23048 South Carolina

Profile Details

NPI number 1740215904
LBN Legal business name Puchalski, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 26th, 2020 - 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 1740215904 NPPES
South Carolina MEDICAID 230486
South Carolina Other DE5192

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