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:
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Health care specialties

SpecialtyCodeLicense #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 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568423564 NPPES
Utah MEDICAID D4575

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