Goeckeritz, Bruce E
Goeckeritz, Bruce E is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 550, West Columbia SC 29169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Goeckeritz, Bruce E can be contacted via phone (803) 936-7410.Contact Information
Primary practice address
146 E Hospital Dr Ste 550
West Columbia SC 29169
Phone: (803) 936-7410
Fax: (803) 936-7412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | TL31856 | South Carolina |
Profile Details
| NPI number | 1366552796 |
|---|---|
| LBN Legal business name | Goeckeritz, Bruce E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366552796 | NPPES |
| South Carolina | MEDICAID | G50371 |
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