Chesnie, Brian Mark

Chesnie, Brian Mark is an sole proprietor health care provider with primary practice located at 1501 Superior Ave Ste 212 , Newport Beach CA 92663-3640. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chesnie, Brian Mark can be contacted via phone (949) 574-4953.

Contact Information

Primary practice address
1501 Superior Ave Ste 212 Newport Beach CA 92663-3640
Phone: (949) 574-4953
Fax: (949) 229-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C41393 California

Profile Details

NPI number 1831196609
LBN Legal business name Chesnie, Brian Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Aug 3rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831196609 NPPES
California Other 330058517 TAX ID
California Other WC41393D TAX ID

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