King, Brent R.

King, Brent R. is an individual health care provider with primary practice located at 1600 Rockland Rd , Wilmington DE 19803-3607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. King, Brent R. can be contacted via phone (302) 651-5860.

Contact Information

Primary practice address
1600 Rockland Rd Wilmington DE 19803-3607
Phone: (302) 651-5860
Fax: (302) 651-4227
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G5250 Texas
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X G5250 Texas
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X G5250 Texas
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X C10010378 Delaware

Profile Details

NPI number 1063455483
LBN Legal business name King, Brent R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 25th, 2013 - about 11 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 1063455483 NPPES
Texas MEDICAID 137016503
Texas Other 137016510
Texas Other 82988K

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