Bravo, Gary Lewis
Bravo, Gary Lewis is an individual health care provider with primary practice located at 3322 Chanate Rd , Santa Rosa CA 95404-1708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bravo, Gary Lewis can be contacted via phone (707) 565-4997.Contact Information
Primary practice address
3322 Chanate Rd
Santa Rosa CA 95404-1708
Phone: (707) 565-4997
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G53626 | California |
Profile Details
NPI number | 1669536009 |
---|---|
LBN Legal business name | Bravo, Gary Lewis |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2006 |
Last updated | Jun 20th, 2014 - about 10 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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