Brockway, Ronnie Alan
Brockway, Ronnie Alan is an individual health care provider with primary practice located at 215 Stork Way , Seneca SC 29678-1039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Brockway, Ronnie Alan can be contacted via phone (864) 882-1311.Contact Information
Primary practice address
215 Stork Way
Seneca SC 29678-1039
Phone: (864) 882-1311
Fax: (864) 882-1350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 10721 | South Carolina |
Profile Details
| NPI number | 1801883848 |
|---|---|
| LBN Legal business name | Brockway, Ronnie Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | May 8th, 2008 - about 18 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 | 1801883848 | NPPES |
| South Carolina | MEDICAID | PA7956 |
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