Willbanks, Bryan Jacob

Willbanks, Bryan Jacob is an individual health care provider with primary practice located at 3155 Salmon St , San Diego CA 92124-3641. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Willbanks, Bryan Jacob can be contacted via phone (843) 475-5341.

Contact Information

Primary practice address
3155 Salmon St San Diego CA 92124-3641
Phone: (843) 475-5341
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1366884686
LBN Legal business name Willbanks, Bryan Jacob
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2013
Last updated Jul 28th, 2013 - about 11 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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