Rabon, Brian M

Rabon, Brian M is an sole proprietor health care provider with primary practice located at 140 Professional Park Dr , Conway SC 29526-9260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rabon, Brian M can be contacted via phone (843) 234-5678.

Contact Information

Primary practice address
140 Professional Park Dr Conway SC 29526-9260
Phone: (843) 234-5678
Fax: (843) 234-4567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22576 South Carolina

Profile Details

NPI number 1619965027
LBN Legal business name Rabon, Brian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Sep 5th, 2012 - about 13 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 1619965027 NPPES
South Carolina MEDICAID GP4121

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