Borucki, Robert B.

Borucki, Robert B. is an individual health care provider with primary practice located at 1911 Hampton St , Columbia SC 29201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Borucki, Robert B. can be contacted via phone (803) 256-1511.

Contact Information

Primary practice address
1911 Hampton St Columbia SC 29201
Phone: (803) 256-1511
Fax: (803) 256-7333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 013376 South Carolina

Profile Details

NPI number 1700882776
LBN Legal business name Borucki, Robert B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Feb 19th, 2010 - about 16 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 1700882776 NPPES
South Carolina MEDICAID 133769

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