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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639782584 NPPES
California MEDICAID 90283

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