Roscoe, Brandon M

Roscoe, Brandon M is an individual health care provider with primary practice located at 33 Beaver Dr Suite 1, Du Bois PA 15801-2434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Roscoe, Brandon M can be contacted via phone (814) 503-8070.

Contact Information

Primary practice address
33 Beaver Dr Suite 1 Du Bois PA 15801-2434
Phone: (814) 503-8070
Fax: (814) 503-8531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52046 Minnesota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD442231 Pennsylvania

Profile Details

NPI number 1639394034
LBN Legal business name Roscoe, Brandon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Dec 12th, 2012 - about 12 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 1639394034 NPPES
Minnesota MEDICAID 1639394034

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