King, Brehan Lara
King, Brehan Lara is an individual health care provider with primary practice located at 428 S Gilbert Rd Ste 115 , Gilbert AZ 85296-2262. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. King, Brehan Lara can be contacted via phone (480) 507-2961.Contact Information
Primary practice address
428 S Gilbert Rd Ste 115
Gilbert AZ 85296-2262
Phone: (480) 507-2961
Fax: (480) 507-2971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 37944 | Arizona |
Profile Details
| NPI number | 1477764108 |
|---|---|
| LBN Legal business name | King, Brehan Lara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1477764108 | NPPES |
| Arizona | MEDICAID | 356711 | |
| Arizona | Other | P00692519 |
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