Brockbank, Harold Grant
Brockbank, Harold Grant is an sole proprietor health care provider with primary practice located at 164 E 5900 S Suite A-104, Murray UT 84107-7256. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brockbank, Harold Grant can be contacted via phone (801) 266-0462.Contact Information
Primary practice address
164 E 5900 S Suite A-104
Murray UT 84107-7256
Phone: (801) 266-0462
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 143218-9922 | Utah |
Profile Details
| NPI number | 1558452102 |
|---|---|
| LBN Legal business name | Brockbank, Harold Grant |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| 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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