Bravo, Gary Lewis

Bravo, Gary Lewis is an individual health care provider with primary practice located at 3322 Chanate Rd , Santa Rosa CA 95404-1708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bravo, Gary Lewis can be contacted via phone (707) 565-4997.

Contact Information

Primary practice address
3322 Chanate Rd Santa Rosa CA 95404-1708
Phone: (707) 565-4997
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G53626 California

Profile Details

NPI number 1669536009
LBN Legal business name Bravo, Gary Lewis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jun 20th, 2014 - about 12 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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