Vandenberg, Todd L

Vandenberg, Todd L is an individual health care provider with primary practice located at 222 E Medical Ln Ste 101 , West Columbia SC 29169-4850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Vandenberg, Todd L can be contacted via phone (803) 739-3660.

Contact Information

Primary practice address
222 E Medical Ln Ste 101 West Columbia SC 29169-4850
Phone: (803) 739-3660
Fax: (803) 739-3663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 20877 South Carolina

Profile Details

NPI number 1558367623
LBN Legal business name Vandenberg, Todd L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 19th, 2020 - about 4 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 1558367623 NPPES
South Carolina Other 340017144 RAILROAD MEDICARE
South Carolina MEDICAID 208778 RAILROAD MEDICARE
South Carolina Other 1904812 RAILROAD MEDICARE

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