Brockman, Ross
Brockman, Ross is an individual health care provider with primary practice located at 1703 S Meridian Ste 101 , Puyallup WA 98371-7590. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Pediatric Dermatology is his primary health care specialty. Brockman, Ross can be contacted via phone (253) 848-3000.Contact Information
Primary practice address
1703 S Meridian Ste 101
Puyallup WA 98371-7590
Phone: (253) 848-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | R-10324 | Iowa |
Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | OP61156882 | Washington |
Profile Details
NPI number | 1568842185 |
---|---|
LBN Legal business name | Brockman, Ross |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2015 |
Last updated | Dec 1st, 2022 - about 3 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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