Avra, Bret A
Avra, Bret A is an sole proprietor health care provider with primary practice located at 2605 Kentucky Ave Ste #302, Paducah KY 42003-3800. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Avra, Bret A can be contacted via phone (270) 443-1717.Contact Information
Primary practice address
2605 Kentucky Ave Ste #302
Paducah KY 42003-3800
Phone: (270) 443-1717
Fax: (270) 443-0517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6283 | Kentucky |
Profile Details
| NPI number | 1144230079 |
|---|---|
| LBN Legal business name | Avra, Bret A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Oct 21st, 2015 - about 9 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 | 1144230079 | NPPES |
| Kentucky | Other | 37-1469385 | TAX ID |
| Kentucky | Other | 560132 | TAX ID |
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