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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639394034 | NPPES |
| Minnesota | MEDICAID | 1639394034 |
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