Dorman, Brian Wallace
Dorman, Brian Wallace is an individual health care provider with primary practice located at 2576 Renfren Street , Eureka CA 95501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dorman, Brian Wallace can be contacted via phone (707) 445-3257.Contact Information
Primary practice address
2576 Renfren Street
Eureka CA 95501
Phone: (707) 445-3257
Fax: (707) 445-1027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G24506 | California |
Profile Details
| NPI number | 1447278122 |
|---|---|
| LBN Legal business name | Dorman, Brian Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Oct 21st, 2021 - about 3 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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