Smith, Bryan Judson

Smith, Bryan Judson is an sole proprietor health care provider with primary practice located at 34101 Farenholt Ave , San Diego CA 92134-7000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Smith, Bryan Judson can be contacted via phone (619) 532-6064.

Contact Information

Primary practice address
34101 Farenholt Ave San Diego CA 92134-7000
Phone: (619) 532-6064
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1457633711
LBN Legal business name Smith, Bryan Judson
Credentials DIVE IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2011
Last updated Sep 13th, 2011 - about 13 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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