Constantine, Brian Keith
Constantine, Brian Keith is an individual health care provider with primary practice located at 18300 Yorba Linda Blvd Suite 204, Yorba Linda CA 92886-4052. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Constantine, Brian Keith can be contacted via phone (714) 577-6301.Contact Information
Primary practice address
18300 Yorba Linda Blvd Suite 204
Yorba Linda CA 92886-4052
Phone: (714) 577-6301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E3493 | California |
Profile Details
| NPI number | 1952349664 |
|---|---|
| LBN Legal business name | Constantine, Brian Keith |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952349664 | NPPES |
| California | MEDICAID | 000E34930 | |
| California | Other | 480023833 |
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