Bacciocco, Bret J
Bacciocco, Bret J is an individual health care provider with primary practice located at 5000 Van Nuys Blvd Ste 314 , Sherman Oaks CA 91403-1852. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bacciocco, Bret J can be contacted via phone (818) 783-2396.Contact Information
Primary practice address
5000 Van Nuys Blvd Ste 314
Sherman Oaks CA 91403-1852
Phone: (818) 783-2396
Fax: (818) 783-2467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | AT4252 | California |
Profile Details
| NPI number | 1114071990 |
|---|---|
| LBN Legal business name | Bacciocco, Bret J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Sep 28th, 2011 - about 14 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 | 1114071990 | NPPES |
| California | Other | AT4252 | CA LICENCE |
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