Blue, Brent
Blue, Brent is an sole proprietor health care provider with primary practice located at 190 Mustang Drive , Driggs ID 83422-0000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Blue, Brent can be contacted via phone (307) 733-7835.Contact Information
Primary practice address
190 Mustang Drive
Driggs ID 83422-0000
Phone: (307) 733-7835
Fax: (307) 201-4999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3416A | Wyoming |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A31472 | California |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 3416A | Wyoming |
Profile Details
| NPI number | 1063467538 |
|---|---|
| LBN Legal business name | Blue, Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Mar 6th, 2026 - about 7 months 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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