Rourke, Blaine B.
Rourke, Blaine B. is an individual health care provider with primary practice located at 809 82Nd Pkwy , Myrtle Beach SC 29572-4607. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Rourke, Blaine B. can be contacted via phone (843) 692-1752.Contact Information
Primary practice address
809 82Nd Pkwy
Myrtle Beach SC 29572-4607
Phone: (843) 692-1752
Fax: (843) 692-1904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA03254 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1184640740 |
|---|---|
| LBN Legal business name | Rourke, Blaine B. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Mar 28th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184640740 | NPPES |
| Texas | Other | 8L5723 | MEDICARE PTAN |
| Texas | MEDICAID | 182196901 | MEDICARE PTAN |
Popular Providers
-
Jansen, Robert
823 82Nd Pkwy , Myrtle Beach SC 29572-4607 -
Rich, David D
823 82Nd Pkwy , Myrtle Beach SC 29572-4607 -
Fernandez Acosta, Carlos A.
849 82Nd Pkwy , Myrtle Beach SC 29572-4614 -
Zakhary, Christopher Bosh
809 82Nd Pkwy , Myrtle Beach SC 29572-4607 -
Harms, Sharon Yvette
901 N Kings Hwy , Myrtle Beach SC 29577-3722 -
Olivarez, Jennifer Lynne
809 82Nd Pkwy , Myrtle Beach SC 29572-4607 -
Zaenger, David W.
4708 Oleander Dr , Myrtle Beach SC 29577 -
Evans, Nathaniel R
210 Village Center Blvd Ste 200 , Myrtle Beach SC 29579-6706