Thacker, Michael Ernest

Thacker, Michael Ernest is an sole proprietor health care provider with primary practice located at 425 Summit Terrace Ct Bldg 7A , Columbia SC 29229-7055. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Thacker, Michael Ernest can be contacted via phone (803) 788-6400.

Contact Information

Primary practice address
425 Summit Terrace Ct Bldg 7A Columbia SC 29229-7055
Phone: (803) 788-6400
Fax: (803) 788-6544
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 627 South Carolina
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 627 South Carolina
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 627 South Carolina

Profile Details

NPI number 1336448125
LBN Legal business name Thacker, Michael Ernest
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2011
Last updated Sep 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336448125 NPPES
South Carolina MEDICAID PD6279

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