Brezovic, Kelli Charlene
Brezovic, Kelli Charlene is an individual health care provider with primary practice located at 2470 Pruden Blvd , Suffolk VA 23434-4206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Brezovic, Kelli Charlene can be contacted via phone (757) 539-1503.Contact Information
Primary practice address
2470 Pruden Blvd
Suffolk VA 23434-4206
Phone: (757) 539-1503
Fax: (757) 539-0107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002465 | Virginia |
Profile Details
| NPI number | 1861722852 |
|---|---|
| LBN Legal business name | Brezovic, Kelli Charlene |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2010 |
| Last updated | Jan 13th, 2010 - about 14 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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