Thrasher, Brenton David

Thrasher, Brenton David is an sole proprietor health care provider with primary practice located at 811 S J St , Lake Worth FL 33460-5043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Thrasher, Brenton David can be contacted via phone (561) 200-9944.

Contact Information

Primary practice address
811 S J St Lake Worth FL 33460-5043
Phone: (561) 200-9944
Fax: (561) 200-9944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X ME77922 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X ME77922 Florida

Profile Details

NPI number 1003975954
LBN Legal business name Thrasher, Brenton David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Aug 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003975954 NPPES
Other 1275846800 GROUP NPI
Other 46787Y GROUP NPI

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