Lockett, Brenton

Lockett, Brenton is an individual health care provider with primary practice located at 12625 Page Hill Ct , Fort Wayne IN 46818-0012. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Lockett, Brenton can be contacted via phone (260) 348-4738.

Contact Information

Primary practice address
12625 Page Hill Ct Fort Wayne IN 46818-0012
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1518722818
LBN Legal business name Lockett, Brenton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2024
Last updated Feb 15th, 2024 - about last year

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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