Detar, Brandie
Detar, Brandie is an individual health care provider with primary practice located at 18200 Yorba Linda Blvd Suite 104, Yorba Linda CA 92886-4056. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Detar, Brandie can be contacted via phone (714) 646-8000.Contact Information
Primary practice address
18200 Yorba Linda Blvd Suite 104
Yorba Linda CA 92886-4056
Phone: (714) 646-8000
Fax: (714) 572-2562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 1237678 | California |
Profile Details
| NPI number | 1871824466 |
|---|---|
| LBN Legal business name | Detar, Brandie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2010 |
| Last updated | Jan 20th, 2010 - about 14 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 | 1871824466 | NPPES |
| California | Other | 1237678 | MASSAGE THERAPY ASSOCIATION LICENSE |
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