Sick, Brandon Roger

Sick, Brandon Roger is an individual health care provider with primary practice located at 2633 Celanese Rd , Rock Hill SC 29732-1205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sick, Brandon Roger can be contacted via phone (803) 329-5131.

Contact Information

Primary practice address
2633 Celanese Rd Rock Hill SC 29732-1205
Phone: (803) 329-5131
Fax: (803) 366-6600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17450 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2006-00021 North Carolina

Profile Details

NPI number 1295752111
LBN Legal business name Sick, Brandon Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jun 24th, 2013 - about 11 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 1295752111 NPPES
South Carolina MEDICAID T13660
South Carolina Other 13955
South Carolina Other P00243983

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