Rosebrock, Richard Andrew

Rosebrock, Richard Andrew is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Rosebrock, Richard Andrew can be contacted via phone (864) 560-6654.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-6654
Fax: (864) 560-7353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 19225 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19225 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 19225 South Carolina

Profile Details

NPI number 1669860540
LBN Legal business name Rosebrock, Richard Andrew
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2014
Last updated Dec 14th, 2020 - about 4 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 1669860540 NPPES
South Carolina MEDICAID NP3030

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