Brimlow, John P

Brimlow, John P is an individual health care provider with primary practice located at 2505 Lucas St , Eureka CA 95501-3340. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Brimlow, John P can be contacted via phone (707) 445-3063.

Contact Information

Primary practice address
2505 Lucas St Eureka CA 95501-3340
Phone: (707) 445-3063
Fax: (707) 442-6602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OPA10060 California

Profile Details

NPI number 1124000922
LBN Legal business name Brimlow, John P
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124000922 NPPES
California Other ZZZ28485Z BLUE SHIELD
California MEDICAID GR0067130 BLUE SHIELD

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