Symes, Brent
Symes, Brent is an individual health care provider with primary practice located at 20 N Fisher Park Way Ste 100, Eagle ID 83616-4709. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Symes, Brent can be contacted via phone (425) 712-9277.Contact Information
Primary practice address
20 N Fisher Park Way Ste 100
Eagle ID 83616-4709
Phone: (425) 712-9277
Fax: (425) 775-5085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-2062 | Idaho |
| Chiropractic Providers / Chiropractor | 111N00000X | CH00034584 | Washington |
Profile Details
| NPI number | 1508940859 |
|---|---|
| LBN Legal business name | Symes, Brent |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jun 8th, 2021 - about 3 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 | 1508940859 | NPPES |
| Other | 3853SY | REGENCE BLUESHIELD RIDER | |
| Other | 0213787 | REGENCE BLUESHIELD RIDER |
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