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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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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