Chamberlain, Brian Keith

Chamberlain, Brian Keith is an individual health care provider with primary practice located at 455 Pinellas St #320, Clearwater FL 33756-3354. 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. Chamberlain, Brian Keith can be contacted via phone (727) 446-2273.

Contact Information

Primary practice address
455 Pinellas St #320 Clearwater FL 33756-3354
Phone: (727) 446-2273
Fax: (727) 441-4966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102572 Florida

Profile Details

NPI number 1568437119
LBN Legal business name Chamberlain, Brian Keith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 8th, 2016 - about 8 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 1568437119 NPPES
Florida MEDICAID 291808100
Florida Other 225992

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