Brackbill, Erin Lee

Brackbill, Erin Lee is an individual health care provider with primary practice located at 1350 Cleveland St , Greenville SC 29607-2440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Brackbill, Erin Lee can be contacted via phone (864) 675-3488.

Contact Information

Primary practice address
1350 Cleveland St Greenville SC 29607-2440
Phone: (864) 675-3488
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29521 South Carolina

Profile Details

NPI number 1669520136
LBN Legal business name Brackbill, Erin Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 7th, 2023 - about 2 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 1669520136 NPPES
South Carolina MEDICAID 295219

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