Mccleve, Bryan R

Mccleve, Bryan R is an sole proprietor health care provider with primary practice located at 16325 Oakhurst Dr , Monte Sereno CA 95030-4170. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mccleve, Bryan R can be contacted via phone (831) 566-2407.

Contact Information

Primary practice address
16325 Oakhurst Dr Monte Sereno CA 95030-4170
Phone: (831) 566-2407
Fax: (831) 763-9799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G75967 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 75967 California

Profile Details

NPI number 1033123369
LBN Legal business name Mccleve, Bryan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2006
Last updated Oct 20th, 2016 - about 8 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 1033123369 NPPES
California MEDICAID 00G759670

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