Stotzer, Michael J

Stotzer, Michael J is an individual health care provider with primary practice located at 139 Summerplace Drive , West Columbia SC 29169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Stotzer, Michael J can be contacted via phone (803) 796-9968.

Contact Information

Primary practice address
139 Summerplace Drive West Columbia SC 29169
Fax: (803) 791-0376
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 208800000X South Carolina

Profile Details

NPI number 1164456422
LBN Legal business name Stotzer, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 31st, 2015 - about 9 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 1164456422 NPPES
South Carolina MEDICAID GP0065

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