Brase, Bernadette
Brase, Bernadette is an sole proprietor health care provider with primary practice located at 6815 Noble Ave , Van Nuys CA 91405-3796. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Brase, Bernadette can be contacted via phone (818) 901-6600.Contact Information
Primary practice address
6815 Noble Ave
Van Nuys CA 91405-3796
Phone: (818) 901-6600
Fax: (818) 997-7826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTL.0016293 | Colorado |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT30174 | California |
Profile Details
| NPI number | 1316078736 |
|---|---|
| LBN Legal business name | Brase, Bernadette |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Nov 7th, 2019 - about 7 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 | 1316078736 | NPPES |
| California | Other | PT30174 | STATE LICENSE |
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