Boatwright, Roger Dale
Boatwright, Roger Dale is an individual health care provider with primary practice located at 704 N A St , Easley SC 29640-2142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boatwright, Roger Dale can be contacted via phone (864) 859-4480.Contact Information
Primary practice address
704 N A St
Easley SC 29640-2142
Phone: (864) 859-4480
Fax: (864) 859-3750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22401 | South Carolina |
Profile Details
| NPI number | 1386628071 |
|---|---|
| LBN Legal business name | Boatwright, Roger Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | May 11th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386628071 | NPPES |
| South Carolina | MEDICAID | L31794 |
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