Mcdonald, Robert Earl

Mcdonald, Robert Earl is an individual health care provider with primary practice located at 853 N Church St Suite 510, Spartanburg SC 29303-3098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcdonald, Robert Earl can be contacted via phone (864) 560-1550.

Contact Information

Primary practice address
853 N Church St Suite 510 Spartanburg SC 29303-3098
Phone: (864) 560-1550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17953 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12602 South Carolina

Profile Details

NPI number 1669452793
LBN Legal business name Mcdonald, Robert Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Feb 5th, 2020 - about 6 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 1669452793 NPPES
South Carolina Other SC62355019 MEDICARE PIN
South Carolina MEDICAID 126027 MEDICARE PIN

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