Brasseale, Beau John

Brasseale, Beau John is an individual health care provider with primary practice located at 901 Wilkinson Trce Suite #2, Bowling Green KY 42103-2483. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Brasseale, Beau John can be contacted via phone (270) 904-4404.

Contact Information

Primary practice address
901 Wilkinson Trce Suite #2 Bowling Green KY 42103-2483
Phone: (270) 904-4404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12011193A Indiana
Dental Providers / Endodontics 1223E0200X 9102 Kentucky

Profile Details

NPI number 1689836439
LBN Legal business name Brasseale, Beau John
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Oct 14th, 2011 - about 13 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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