Bak, Brian Clay
Bak, Brian Clay is an sole proprietor health care provider with primary practice located at 1 5Th St Se , Watertown SD 57201-3778. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bak, Brian Clay can be contacted via phone (605) 882-4252.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 687 | South Dakota |
Profile Details
| NPI number | 1861532913 |
|---|---|
| LBN Legal business name | Bak, Brian Clay |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1861532913 | NPPES |
| South Dakota | MEDICAID | 7600120 |
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