Pendleberry, Brian Scott
Pendleberry, Brian Scott is an individual health care provider with primary practice located at 1722 S Lewis Rd , Camarillo CA 93012-8520. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Pendleberry, Brian Scott can be contacted via phone (805) 445-7800.Contact Information
Primary practice address
1722 S Lewis Rd
Camarillo CA 93012-8520
Phone: (805) 445-7800
Fax: (805) 445-7830
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Psychiatric Technician | 167G00000X | PT24244 | California |
Profile Details
NPI number | 1467586214 |
---|---|
LBN Legal business name | Pendleberry, Brian Scott |
Credentials | LPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 15th, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467586214 | NPPES |
California | Other | PT24244 | LICENSE |
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