Earl, Brett
Earl, Brett is an individual health care provider with primary practice located at 458 N 500 W , Bountiful UT 84010-6948. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Earl, Brett can be contacted via phone (801) 296-8060.Contact Information
Primary practice address
458 N 500 W
Bountiful UT 84010-6948
Phone: (801) 296-8060
Fax: (801) 296-8050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 5110301-1205 | Utah |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 5110301-1205 | Utah |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5110301 | Utah |
Profile Details
| NPI number | 1568423564 |
|---|---|
| LBN Legal business name | Earl, Brett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 18th, 2013 - about 12 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 | 1568423564 | NPPES |
| Utah | MEDICAID | D4575 |
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