Oliver, Brett Alan
Oliver, Brett Alan is an individual health care provider with primary practice located at 210 Bevins Ln Ste C, Georgetown KY 40324-6120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Oliver, Brett Alan can be contacted via phone (502) 868-0622.Contact Information
Primary practice address
210 Bevins Ln Ste C
Georgetown KY 40324-6120
Phone: (502) 868-0622
Fax: (502) 868-9097
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36063 | Kentucky |
Profile Details
NPI number | 1467458042 |
---|---|
LBN Legal business name | Oliver, Brett Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 28th, 2005 |
Last updated | Dec 7th, 2020 - about 4 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 | 1467458042 | NPPES |
Kentucky | MEDICAID | 64019862 |
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