Sowell, Bryan Lee

Sowell, Bryan Lee is an individual health care provider with primary practice located at 1700 N Waterman Ave , San Bernardino CA 92404-5115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sowell, Bryan Lee can be contacted via phone (909) 883-8611.

Contact Information

Primary practice address
1700 N Waterman Ave San Bernardino CA 92404-5115
Phone: (909) 883-8611
Fax: (909) 881-5707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A54025 California

Profile Details

NPI number 1306896691
LBN Legal business name Sowell, Bryan Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 11th, 2008 - 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 1306896691 NPPES
California MEDICAID 00A540251

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