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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063455483 | NPPES |
| Texas | MEDICAID | 137016503 | |
| Texas | Other | 137016510 | |
| Texas | Other | 82988K |
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