Brockman, Eric Scott
Brockman, Eric Scott is an individual health care provider with primary practice located at 7601 Castor Ave Ste 300 , Philadelphia PA 19152-4027. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Brockman, Eric Scott can be contacted via phone (215) 722-4290.Contact Information
Primary practice address
7601 Castor Ave Ste 300
Philadelphia PA 19152-4027
Phone: (215) 722-4290
Fax: (215) 722-3734
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 00007825 | Washington |
Dental Providers / Periodontics | 1223P0300X | 1001067-15 | Wisconsin |
Dental Providers / Periodontics | 1223P0300X | 11876 | Tennessee |
Dental Providers / Periodontics | 1223P0300X | DS028499L | Pennsylvania |
Profile Details
NPI number | 1336211614 |
---|---|
LBN Legal business name | Brockman, Eric Scott |
Credentials | DMD, MSD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 14th, 2006 |
Last updated | Aug 11th, 2023 - about last year |
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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