Brokken, William Kent
Brokken, William Kent is an sole proprietor health care provider with primary practice located at 4433 Meadowlark Ln , Santa Barbara CA 93105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Brokken, William Kent can be contacted via phone (805) 886-8021.Contact Information
Primary practice address
4433 Meadowlark Ln
Santa Barbara CA 93105
Phone: (805) 886-8021
Fax: (805) 687-1482
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | C33750 | California |
Profile Details
| NPI number | 1336140284 |
|---|---|
| LBN Legal business name | Brokken, William Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Dec 28th, 2023 - about 2 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 | 1336140284 | NPPES |
| California | Other | 05D0584671 | CLIA |
| California | Other | 1043211907 | CLIA |
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