Gifford, Brooke Ashley

Gifford, Brooke Ashley is an sole proprietor health care provider with primary practice located at 3095 Old Conejo Rd Ste 100 , Newbury Park CA 91320-2130. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Gifford, Brooke Ashley can be contacted via phone (805) 273-1415.

Contact Information

Primary practice address
3095 Old Conejo Rd Ste 100 Newbury Park CA 91320-2130
Phone: (805) 273-1415
Fax: (805) 823-6207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4889 California

Profile Details

NPI number 1750563995
LBN Legal business name Gifford, Brooke Ashley
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2007
Last updated Feb 28th, 2018 - about 6 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 1750563995 NPPES
California Other E4889 LICENSE

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