Brugge, Jonathan Blakely

Brugge, Jonathan Blakely is an sole proprietor health care provider with primary practice located at 616 Prospect Ave Apt 2 , South Pasadena CA 91030-2433. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Brugge, Jonathan Blakely can be contacted via phone (323) 770-2345.

Contact Information

Primary practice address
616 Prospect Ave Apt 2 South Pasadena CA 91030-2433
Phone: (323) 770-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1689920985
LBN Legal business name Brugge, Jonathan Blakely
Credentials BASW CADCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2012
Last updated Sep 19th, 2012 - about 12 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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