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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1902864465 | NPPES |
| Pennsylvania | MEDICAID | 001005772 |
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