Los, Brian A

Los, Brian A is an individual health care provider with primary practice located at 339 W Spring St Suite 102, Titusville PA 16354-1655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Los, Brian A can be contacted via phone (814) 827-9695.

Contact Information

Primary practice address
339 W Spring St Suite 102 Titusville PA 16354-1655
Phone: (814) 827-9695
Fax: (814) 827-0216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD060387L Pennsylvania

Profile Details

NPI number 1497747588
LBN Legal business name Los, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1497747588 NPPES
Pennsylvania MEDICAID 0016335370004

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