Bracken, Roberta Theresa

Bracken, Roberta Theresa is an sole proprietor health care provider with primary practice located at 4 Johnson Rd , Charleston SC 29407-7515. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Bracken, Roberta Theresa can be contacted via phone (843) 556-1858.

Contact Information

Primary practice address
4 Johnson Rd Charleston SC 29407-7515
Phone: (843) 556-1858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 07754 South Carolina

Profile Details

NPI number 1538358700
LBN Legal business name Bracken, Roberta Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2007
Last updated Oct 23rd, 2007 - about 19 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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