Brophy, Michael Gerard

Brophy, Michael Gerard is an individual health care provider with primary practice located at 4404 Boxwood St , Myrtle Beach SC 29577-2620. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as his primary health care specialty. Brophy, Michael Gerard can be contacted via phone (864) 542-7709.

Contact Information

Primary practice address
4404 Boxwood St Myrtle Beach SC 29577-2620
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 7400 South Carolina

Profile Details

NPI number 1992178644
LBN Legal business name Brophy, Michael Gerard
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2015
Last updated Dec 26th, 2020 - about 4 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 1992178644 NPPES
South Carolina Other 100472071 DRIVER'S LICENSE

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