Brecheisen, Scott Kevin
Brecheisen, Scott Kevin is an sole proprietor health care provider with primary practice located at 57 Heffelman Dr , Grove OK 74344-4549. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brecheisen, Scott Kevin can be contacted via phone (918) 786-5533.Contact Information
Primary practice address
57 Heffelman Dr
Grove OK 74344-4549
Phone: (918) 786-5533
Fax: (918) 336-5584
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 4558 | Oklahoma |
Profile Details
NPI number | 1497779326 |
---|---|
LBN Legal business name | Brecheisen, Scott Kevin |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2006 |
Last updated | Nov 16th, 2022 - about 3 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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