Brodkin, Richard A

Brodkin, Richard A is an individual health care provider with primary practice located at 276 Old Mocksville Rd , Statesville NC 28625-1949. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Brodkin, Richard A can be contacted via phone (704) 873-5150.

Contact Information

Primary practice address
276 Old Mocksville Rd Statesville NC 28625-1949
Phone: (704) 873-5150
Fax: (704) 873-5208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 20109 North Carolina

Profile Details

NPI number 1609846385
LBN Legal business name Brodkin, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Feb 1st, 2013 - about 11 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 1609846385 NPPES
Other P00031308 RAILROAD MEDICARE
MEDICAID 006005314 RAILROAD MEDICARE
Other 3130882 RAILROAD MEDICARE
Other 4098090 RAILROAD MEDICARE
MEDICAID 7918565 RAILROAD MEDICARE
Other 118 RAILROAD MEDICARE
Other 21406 RAILROAD MEDICARE
Other 3601026 RAILROAD MEDICARE
Other 18565 RAILROAD MEDICARE

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