Andersen, Brock Arben
Andersen, Brock Arben is an sole proprietor health care provider with primary practice located at 2101 N Whitley Dr , Fruitland ID 83619-2132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Andersen, Brock Arben can be contacted via phone (208) 452-5999.Contact Information
Primary practice address
2101 N Whitley Dr
Fruitland ID 83619-2132
Phone: (208) 452-5999
Fax: (208) 452-4499
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M-11642 | Idaho |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A 93571 | California |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M-11462 | Idaho |
Profile Details
NPI number | 1558349852 |
---|---|
LBN Legal business name | Andersen, Brock Arben |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 6th, 2006 |
Last updated | Oct 1st, 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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