Guard, Brent Lawrence
Guard, Brent Lawrence is an individual health care provider with primary practice located at 3449 E Rezanof Dr , Kodiak AK 99615-6952. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Guard, Brent Lawrence can be contacted via phone (907) 486-1386.Contact Information
Primary practice address
3449 E Rezanof Dr
Kodiak AK 99615-6952
Phone: (907) 486-1386
Fax: (907) 847-2264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 18-135-BHA1 | Alaska |
Profile Details
| NPI number | 1700370202 |
|---|---|
| LBN Legal business name | Guard, Brent Lawrence |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2018 |
| Last updated | Jun 18th, 2018 - about 7 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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