Bear, Brian J
Bear, Brian J is an individual health care provider with primary practice located at 324 Roxbury Rd , Rockford IL 61107-5090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bear, Brian J can be contacted via phone (815) 398-9491.Contact Information
Primary practice address
324 Roxbury Rd
Rockford IL 61107-5090
Phone: (815) 398-9491
Fax: (815) 381-7498
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036095607 | Illinois |
Profile Details
NPI number | 1164535837 |
---|---|
LBN Legal business name | Bear, Brian J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Sep 18th, 2023 - about last year |
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 | 1164535837 | NPPES |
Illinois | MEDICAID | 036095607 |
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