Broome, William Tyler
Broome, William Tyler is an sole proprietor health care provider with primary practice located at 101 Brightwater Dr , Myrtle Beach SC 29579-8275. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Broome, William Tyler can be contacted via phone (843) 903-8300.Contact Information
Primary practice address
101 Brightwater Dr
Myrtle Beach SC 29579-8275
Phone: (843) 903-8300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | 4794 | South Carolina |
Profile Details
NPI number | 1326540022 |
---|---|
LBN Legal business name | Broome, William Tyler |
Credentials | COTA/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2018 |
Last updated | Mar 8th, 2018 - about 7 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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