Brockway, Ronnie Alan

Brockway, Ronnie Alan is an individual health care provider with primary practice located at 215 Stork Way , Seneca SC 29678-1039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Brockway, Ronnie Alan can be contacted via phone (864) 882-1311.

Contact Information

Primary practice address
215 Stork Way Seneca SC 29678-1039
Fax: (864) 882-1350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10721 South Carolina

Profile Details

NPI number 1801883848
LBN Legal business name Brockway, Ronnie Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated May 8th, 2008 - about 16 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 1801883848 NPPES
South Carolina MEDICAID PA7956

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