Provider Demographics
NPI:1902886005
Name:LUHRS, BERND UWE
Entity Type:Individual
Prefix:
First Name:BERND
Middle Name:UWE
Last Name:LUHRS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9165 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9120
Mailing Address - Country:US
Mailing Address - Phone:843-797-8162
Mailing Address - Fax:843-820-1300
Practice Address - Street 1:9165 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9120
Practice Address - Country:US
Practice Address - Phone:843-797-8162
Practice Address - Fax:843-820-1300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCA336363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC570771Medicare ID - Type Unspecified
SC570771Medicare UPIN