Brass, Alyssa
Brass, Alyssa is an individual health care provider with primary practice located at 8522 C Ave Apt 227 , Hesperia CA 92345-5935. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Brass, Alyssa can be contacted via phone (909) 225-2644.Contact Information
Primary practice address
8522 C Ave Apt 227
Hesperia CA 92345-5935
Phone: (909) 225-2644
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Assistant | 126800000X |
Profile Details
NPI number | 1639782584 |
---|---|
LBN Legal business name | Brass, Alyssa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2020 |
Last updated | Aug 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639782584 | NPPES |
California | MEDICAID | 90283 |
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