Collard, Bryan Gene

Collard, Bryan Gene is an individual health care provider with primary practice located at 615 5Th St # 300 , Brookings OR 97415-9199. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Collard, Bryan Gene can be contacted via phone (877) 408-8941.

Contact Information

Primary practice address
615 5Th St # 300 Brookings OR 97415-9199
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1558066795
LBN Legal business name Collard, Bryan Gene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2023
Last updated Apr 4th, 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.

Request for update

Popular Providers