Case, Brent E

Case, Brent E is an individual health care provider with primary practice located at 463 S. Lake Powell Blvd , Page AZ 86040-0790. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Case, Brent E can be contacted via phone (928) 645-5113.

Contact Information

Primary practice address
463 S. Lake Powell Blvd Page AZ 86040-0790
Phone: (928) 645-5113
Fax: (928) 645-3254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-12277 Arizona

Profile Details

NPI number 1952330656
LBN Legal business name Case, Brent E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 9th, 2007 - about 18 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 1952330656 NPPES
Arizona MEDICAID 101918

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