Brockhurst, Alan Clayton

Brockhurst, Alan Clayton is an individual health care provider with primary practice located at 720 W Oak St Ste. 101, Kissimmee FL 34741-4989. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Brockhurst, Alan Clayton can be contacted via phone (407) 846-3166.

Contact Information

Primary practice address
720 W Oak St Ste. 101 Kissimmee FL 34741-4989
Phone: (407) 846-3166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME115271 Florida

Profile Details

NPI number 1366493892
LBN Legal business name Brockhurst, Alan Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Apr 18th, 2013 - 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 1366493892 NPPES
Michigan Other C86007 BCBSM GROUP
Michigan Other P00374266 BCBSM GROUP
Michigan MEDICAID 4881673-10 BCBSM GROUP

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