Brooker, Reginald John
Brooker, Reginald John is an individual health care provider with primary practice located at 3 Butternut Dr Ste B, Greenville SC 29605-4653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Brooker, Reginald John can be contacted via phone (864) 298-2826.Contact Information
Primary practice address
3 Butternut Dr Ste B
Greenville SC 29605-4653
Phone: (864) 298-2826
Fax: (864) 672-7764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 7813 | South Carolina |
Profile Details
| NPI number | 1871598201 |
|---|---|
| LBN Legal business name | Brooker, Reginald John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jul 31st, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871598201 | NPPES |
| South Carolina | MEDICAID | 078132 |
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