Bromer, Richard Harris

Bromer, Richard Harris is an individual health care provider with primary practice located at 3696 Wheeler Rd , Augusta GA 30909-6520. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bromer, Richard Harris can be contacted via phone (706) 736-1830.

Contact Information

Primary practice address
3696 Wheeler Rd Augusta GA 30909-6520
Fax: (706) 736-4521
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 018206 Georgia

Profile Details

NPI number 1992703193
LBN Legal business name Bromer, Richard Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Mar 15th, 2012 - about 13 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 1992703193 NPPES
Georgia MEDICAID 00263238A2

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