Brockman, Paul

Brockman, Paul is an individual health care provider with primary practice located at 2802 Papermill Rd , Wyomissing PA 19610-1065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Brockman, Paul can be contacted via phone (484) 268-2778.

Contact Information

Primary practice address
2802 Papermill Rd Wyomissing PA 19610-1065
Phone: (484) 268-2778
Fax: (484) 628-2688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD033206E Pennsylvania

Profile Details

NPI number 1902864465
LBN Legal business name Brockman, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Mar 25th, 2013 - about 13 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 1902864465 NPPES
Pennsylvania MEDICAID 001005772

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