Brevetta, Robert Alexander

Brevetta, Robert Alexander is an individual health care provider with primary practice located at 727 Se Main St Ste 120 , Simpsonville SC 29681-3248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Brevetta, Robert Alexander can be contacted via phone (864) 454-6700.

Contact Information

Primary practice address
727 Se Main St Ste 120 Simpsonville SC 29681-3248
Phone: (864) 454-6700
Fax: (864) 454-6705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36753 South Carolina

Profile Details

NPI number 1871751677
LBN Legal business name Brevetta, Robert Alexander
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Jun 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871751677 NPPES
South Carolina MEDICAID 367533

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