Brevig, Brandon Micah
Brevig, Brandon Micah is an sole proprietor health care provider with primary practice located at 302 W Idaho St , Boise ID 83702-6039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Brevig, Brandon Micah can be contacted via phone (208) 994-4962.Contact Information
Primary practice address
302 W Idaho St
Boise ID 83702-6039
Phone: (208) 994-4962
Fax: (888) 913-3862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 11-6037195 | New York |
Profile Details
| NPI number | 1306057641 |
|---|---|
| LBN Legal business name | Brevig, Brandon Micah |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Jan 6th, 2016 - about 9 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 | 1306057641 | NPPES |
| New York | Other | 11-6037195 | GERALD TEPLITZ, DO |
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