Brockhouse, Robert T

Brockhouse, Robert T is an sole proprietor health care provider with primary practice located at 9919 Dorchester Rd , Summerville SC 29485-8530. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Brockhouse, Robert T can be contacted via phone (843) 875-6522.

Contact Information

Primary practice address
9919 Dorchester Rd Summerville SC 29485-8530
Phone: (843) 875-6522
Fax: (843) 821-5343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2224 South Carolina

Profile Details

NPI number 1942345400
LBN Legal business name Brockhouse, Robert T
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942345400 NPPES
South Carolina MEDICAID Z2224-4

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