Brooker, Reginald John

Brooker, Reginald John is an individual health care provider with primary practice located at 3 Butternut Dr Ste B, Greenville SC 29605-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Brooker, Reginald John can be contacted via phone (864) 298-2826.

Contact Information

Primary practice address
3 Butternut Dr Ste B Greenville SC 29605-4653
Phone: (864) 298-2826
Fax: (864) 672-7764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 7813 South Carolina

Profile Details

NPI number 1871598201
LBN Legal business name Brooker, Reginald John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 31st, 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 1871598201 NPPES
South Carolina MEDICAID 078132

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