Obenza, Brian R

Obenza, Brian R is an individual health care provider with primary practice located at 180 Wingo Way Suite 204, Mt Pleasant SC 29464-1810. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Obenza, Brian R can be contacted via phone (843) 534-1770.

Contact Information

Primary practice address
180 Wingo Way Suite 204 Mt Pleasant SC 29464-1810
Phone: (843) 534-1770
Fax: (843) 534-1767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X TL1599 South Carolina

Profile Details

NPI number 1053613786
LBN Legal business name Obenza, Brian R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Dec 1st, 2010 - about 14 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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