Brockway, Stephen Keith

Brockway, Stephen Keith is an individual health care provider with primary practice located at 2340 Clay St Fl 7 California Pacific Medical Center, San Francisco CA 94115-1932. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Brockway, Stephen Keith can be contacted via phone (415) 600-5739.

Contact Information

Primary practice address
2340 Clay St Fl 7 California Pacific Medical Center San Francisco CA 94115-1932
Phone: (415) 600-5739
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A81223 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A81223 California

Profile Details

NPI number 1346213394
LBN Legal business name Brockway, Stephen Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 9th, 2007 - about 17 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 1346213394 NPPES
California MEDICAID 00A812230

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