Dehaven, Joshua Brent

Dehaven, Joshua Brent is an sole proprietor health care provider with primary practice located at 2642 Trident Way Bldg 616 , San Diego CA 92155-5492. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Dehaven, Joshua Brent can be contacted via phone (331) 425-9749.

Contact Information

Primary practice address
2642 Trident Way Bldg 616 San Diego CA 92155-5492
Phone: (331) 425-9749
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1457638546
LBN Legal business name Dehaven, Joshua Brent
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2011
Last updated Nov 3rd, 2011 - about 13 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