Larreau, Brad A
Larreau, Brad A is an sole proprietor health care provider with primary practice located at 22D Medical Group/Sgq 57950 Leavenworth St, Mcconnell Afb KS 67221-3506. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Larreau, Brad A can be contacted via phone (316) 759-5181.Contact Information
Primary practice address
22D Medical Group/Sgq 57950 Leavenworth St
Mcconnell Afb KS 67221-3506
Phone: (316) 759-5181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 60461 | Kansas |
Profile Details
| NPI number | 1518948132 |
|---|---|
| LBN Legal business name | Larreau, Brad A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Dec 11th, 2007 - about 18 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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