Robertson, Brandon Michael

Robertson, Brandon Michael is an sole proprietor health care provider with primary practice located at 125 E Dakota Ave Apt 104 , Fresno CA 93704-4073. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Robertson, Brandon Michael can be contacted via phone (559) 375-5487.

Contact Information

Primary practice address
125 E Dakota Ave Apt 104 Fresno CA 93704-4073
Phone: (559) 375-5487
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 02-075241 California

Profile Details

NPI number 1629134598
LBN Legal business name Robertson, Brandon Michael
Credentials CAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Dec 28th, 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 1629134598 NPPES
California Other 02-075241 CAARR

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