Rich, Brent S
Rich, Brent S is an individual health care provider with primary practice located at 8630 E Via De Ventura Ste 201 , Scottsdale AZ 85258-3358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Rich, Brent S can be contacted via phone (805) 583-7444.Contact Information
Primary practice address
8630 E Via De Ventura Ste 201
Scottsdale AZ 85258-3358
Phone: (805) 583-7444
Fax: (480) 558-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 1861381205 | Utah |
Profile Details
| NPI number | 1982614319 |
|---|---|
| LBN Legal business name | Rich, Brent S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Jul 29th, 2020 - about 5 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 | 1982614319 | NPPES |
| Arizona | Other | 18925 | ARIZONA STATE MEDICAL LICENSE |
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